obstetrics Flashcards
mother with previous group B strep what is the prophylaxis for her next pregnancies
IV antibiotics during labour
gestational diabetes if blood glucose not controlled by metformin and diet what is next step
to add insulin
what diabetes medication is safe during pregnancy and breastfeeding
metformin
what is done for Down syndrome antenatal screening
nuchal translucency - thickened
B-hCG - increased
pregnancy associated plasma protein A - reduced
is rivaroxaban safe in pregnancy
no
investigation for gestational diabetes
oral glucose tolerance test at 24-28 weeks
when to stop methotrexate before conception
at least 6 months
management of chickenpox in pregnancy
oral acyclovir
what is a cholestatic picture on LFT
high ALP and GGT
1st line management of post partum haemorrhage if patient stable
uterine massage
when is latest before no foetal movement becomes a concern
24 weeks
what is associated with low alpha fetoprotein
down syndrome
what is the contraindication of vaginal delivery after c section
vertical (classical) caesarean scar
medication given to suppress lactation
cabergoline
what causes group B streptococcal disease
Streptococcus agalacticae
what is gestational hypertension
hypertension with no protienuria
if no heartbeat on doppler what is next investigation
ultrasound
does no vaginal bleeding rule out placental abruption
no
- patient can present as collapse, cold and in extreme pain
investigation to do if ‘sudden gush of fluid’
speculum
what is a category 1 c section
one that needs to be done urgently in next 30 minutes
what causes a raised alpha fetoprotein
uterine wall defects e.g. omphalocele
first line management for gestational diabetes
insulin
group B streptococcus prophylaxis
IV benzylpenicilin
what hormone in pregnancy causes smooth muscle relaxation
progesterone
