Obstetrics

Question 1

Induction of abortion

Answer 1

• Gemeprost (a prostaglandin) is administered vaginally as pessaries and is suitable for inducing an abortion.
• Misoprostol (a prostaglandin) is given by mouth, buccally, sublingually or vaginally to induce an abortion.
• Pre-treatment with Mifepristone (anti-progestogen) can facilitate the process of abortion. It sensitises the uterus for administration of the prostaglandin… allowing abortion to occur in a shorter time and with a lower dose of prostaglandin.

Question 2

Induction and augmentation of labour

Answer 2

• Dinoprostone is available as vaginal tablets, vaginal gels and pessaries for the induction of labour.
• Oxytocin is administered as a slow intravenous infusion to induce or augment labour.
• Misoprostol is given orally or vaginally for the induction of labour.

Question 3

Prevent and treat bleeding labour/abortion/miscarriage

Answer 3

• Carbetocin
• Carboprost
• Ergometrine
• Misoprostol
• Oxytocin

Question 4

Ectopic pregnancy

Answer 4

Methotrexate

Question 5

Premature labour

Answer 5

• Salbutamol/terbutaline
• Atosiban
• Indomethacin
• Nifedipine