Obstetrics Flashcards
rhesus incompatibility
Rh - mother
Rh + baby
suspected miscarriage
early pregnancy assessment unit
miscarriage management
watch and wait (7-14 days)
misoprostol
evacuation
anti-phospholipid syndrome prophylaxis
LMWH + aspirin
termination of pregnancy medical
mifepristone oral
(36-48hrs later)
misoprostol
termination of pregnancy surgical
< 7 weeks - manual vacuation
7-14wks - section/vacuum aspiration
15-24wks - dilation and evacuation
define molar pregnancy
imbalance in the number of chromosomes from mother and father
molar pregnancy presentation
vaginal bleeding nausea hyperemisis gravidarum large uterus thyrotoxicosis
molar pregnancy ultrasound presentation
snowstorm appearance
molar pregnancy managament
suction curettage
hysterectomy
ectopic pregnancy gold standard diagnostic
laparoscopy
ectopic minimal symptoms treatment
methotrexate
ectopic heam unstable management
salpingectomy
hyperemisis gravidarum management
fluid replacement
potassium chloride
cyclizine, metoclopramide, prochlorperazine
odansetronmay be used in severe cases
thiamine and folic acid
antacids
gestational diabetes treatment
lifestyle (1-2 weeks)
- metformin
- metformin + insulin
confirmation of polyhydramnios
US
placental praevia diagnosis
TV-USS confirmation
placental praevia management
admit
ABCDE
assess baby condition +/- steroids
consider delivery if uncomplicated between 36-37 weeks
c-section if covering os/<2cm
vaginal if >2cm and no malpresentation
placental abruption management
admit
ABCDE
maternal/fetal compromise - emergency C-section
normal - amniotomy
vasa praevia managament
steroids from 32 weeks
elective c-section 34-36 weeks
pre-eclampsia management
labetalol (nifedipine if CO, methyldopa if both CO)
HELP syndrome findings
haemolysis
increased liver enzymes
decreased platelets
eclamptic seizure treatment
control BP - LIV labetolol
stop seizure - mag sulph
