Obstetrics Flashcards
What should you do if a baby loses >10% of its birthweight in the first week of life
Refer to midwife-led breastfeeding clinic
What are the two phases in the 1st stage of labour
Latent phase: 0-3cm
Active phase: 3-10cm
Would you experience pain with a threatened miscarriage
No
How would you immediately manage an umbilical cord prolapse
Retrofill the bladder with 500-700ml of saline and push the presenting part back into the uterus
When should insulin be commenced in gestational diabetes
If fasting glucose level of >=7 mmol/l at the time of diagnosis
Define ‘station’
The term used to describe the head in relation to the ischial spine
3 parameters which indicate an antenatal diagnosis of Down’s Syndrome
Increased HCG
Decreased PAPP-A
Thickened nuchal translucency
How long should you continue magnesium treatment for after the last seizure
24 hours
Give one risk factor for pre-eclampsia
Pre-existing renal disease
What is the only contraindication for epidural anaesthesia in labour
Coagulopathy
When should you attempt to move a breech baby
36 weeks
Are DOACs safe to use in pregnancy?
NO
is it safe to breastfeed a baby with maternal hepatitis B
yes
Define renal agenesis and how would it present
Absence of one or both kidneys
Reduced amniotic fluid
What should you do if there are late decelerations on CTG
Fetal blood sampling
When should methotrexate be stopped before conception?
6 months
How would you manage a women who had a previous baby with group B strep
IV antibiotic prophylaxis
When would you give the first dose of anti-D
28 weeks
What dose of folic acid should you give women?
400 micrograms for the general population
5mg for women with a BMI over 30 or on anti-epileptics or diabetics
What should you do if a woman is exposed to chicken pox during pregnancy?
If they are not immune then give:
Below 20 weeks: varicella zoster immunoglobulin
Above 20 weeks: varicella zoster immunoglobulin or antivirals given at day 7-14 post-exposure (not immediately)
Antihypertensive for pre-eclampsia
Labetalol
If pt has asthma then Nifedipine
What 5 scenarios would warrant continuous CTG monitoring
- suspected chorioamnionitis or sepsis, or a temperature of 38°C or above
- severe hypertension 160/110 mmHg or above
- oxytocin use
- the presence of significant meconium
- fresh vaginal bleeding that develops in labour - this was a new point added to the guidelines in 2014
Define postpartum haemorrhage
Blood loss of 500mls or more within 24 hours of the birth of a baby
2 SSRIs of choice in breastfeeding women
Sertraline
Paroxetine