Obstetrics

Question 1

Risk factors for placental abruption

Answer 1

Pre eclampsia
Previous abruption
Trauma 
Smoking 
Cocaine 
Increased parity

Question 2

Breech presentation

Answer 2

Explain that it is normal
May turn itself
36/37 weeks ECV

planned c section or vaginal delivery

Question 3

Alcohol advice for pregnant women

Answer 3

Pregnant women and women planning a pregnancy should be advised to avoid drinking alcohol in the first 3 months of pregnancy if possible because it may be associated with an increased risk of miscarriage’
if women choose to drink alcohol during pregnancy they should be advised to drink no more than 1 to 2 units once or twice a week
inform women that getting drunk/binge drinking (more than 7.5 units on a single occasion) may be harmful to the unborn baby

Question 4

Food acquired infections in pregnancy

Answer 4

Food-acquired infections

listeriosis: avoid unpasteurised milk, ripened soft cheeses (Camembert, Brie, blue-veined cheeses), pate or undercooked meat
salmonella: avoid raw or partially cooked eggs and meat, especially poultry

Question 5

Uterine abnormalities

Answer 5

Class:
I - Mullerian agenesis
II - unicornuate
III - uterus didelphys
IV - bicornuate uterus
V - septated

Question 6

Contraception after pregnancy

Answer 6

COCP contraindicated in first four weeks