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
what nerve is blocked in instrumental delivery
pudendal nerve
symptoms of toxoplasma gondii
asymptomatic or flu like
what causes postpartum blues
progesterone withdrawal - peaks about 3 days and resolves within 10 days
what is frank breach
when legs are extended fully up to the shoulders
what is a large BMI
> 30kg
gestational diabetes diagnosis figures
5678
fasting glucose >5.6
2 hours glucose >7.8
what food should be avoided in pregnancy
cooked liver
definition of placenta percreta
villi through myometrium
management is fasting glucose >7
immediate insulin
category 2 c section must occur within
75 minutes
what antidepressants can be taken during breastfeeding
sertraline or paroxetine
pregnant mother BP >160 do you admit
admit
screening post natal depression
Edinburgh scale
is it safe for a mother with hepatitis B to breast feed
yes
labour in patient with intrahepatic cholestasis of pregnancy
induction Labour at 37-38 weeks
what is the end of 1st stage of labour
10cm dilation
Edward syndrom quadruple test result
AFP - low
oestriol- low
hCG - low
inhibin A - normal
most common cause of PPH
uterine atony
chickenpox exposure in 20 week pregnant female but has negative zoster antibodies what is the next best step
commence varicella zoster immunoglobulin
management of magnesium sulphate induced respiratory depression
calcium gluconate
can you give aspirin to breastfeeding mother
no
main complication of induction of labour
uterine hyperstimulation
what immunoglobulin is responsible for attack in rhesus negative
IgG
pregnant women with DVT that is underweight or overweight what should be monitored
anti-Xa activity
most common cause of secondary postpartum haemorrhage between day 2 and 10
postpartum endometritis
