obstetrics Flashcards

1
Q

Post-partum haemorrhage minor and major blood loss amount

A
  1. minor = more than 500ml
  2. major = more than 1000ml
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2
Q

risk factors of postpartum haemorrhage before and after birth

A

Before birth:
- carrying twins/triplets,
-previous PPH,
- BMI>35,
- anaemia
During and immediately after birth: -delivery by caesarean
- induction of labour
- long labour,
- large baby (more than 4kg)
- fever during labour,

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3
Q

Potential risk factors for developing gestational diabetes

A
  • obesity
  • old age
  • history of unexplained stillbirth or miscarriage
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4
Q

gestational diabetes adverse outcomes

A
  • Pregnancy associated hypertension * 3rd and 4th degree perineal tears
  • Caesarean section
  • Preterm labour
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5
Q

Hypertension in pregnancy markers in blood pressure

A

diastolic = over 90
systolic = over 140

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6
Q

Gestational Hypertension vs chronic hypertension

A

Gestational Hypertension=
* New onset of hypertension after 20 weeks gestation
* No signs of pre-eclampsia
Chronic Hypertension =
* Onset of hypertension prior to pregnancy

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7
Q

Deep vein thrombosis (DVT) symptoms pregnancy

A
  • swelling
  • leg pain
  • abdominal pain
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8
Q

Pulmonary embolism symptoms

A

-dyspnoea (shortness of breath)
- chest pain
- low grade fever
- blood in sputum
- collapse

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9
Q

what is an ectopic pregnancy

A

An ectopic pregnancy is a pregnancy that establishes in an abnormal position.

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10
Q

what risks occur after an ectopic pregnancy

A
  • haemorrhage
  • significant blood loss
  • shock
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11
Q

what is chorionic villus sampling and when is it done

A

checks cells from the placenta to see if they have a chromosomal abnormality (such as Down syndrome)
- weeks 10 to 13 in a woman’s pregnancy

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12
Q

what vaccines should be given during pregnancy

A
  • influenza (any stage of pregnancy)
  • whooping cough (beginning of second trimester)
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