Obstetrics And Gynae Flashcards
When are the earliest dates for an anaomaly scan, dating scan and nuchal scan, respectively?
18-20 + 6 weeks - anomaly
8 weeks - dating
11 weeks - nichal
Which antidepressants are safe to use whilst breastfeeding?
Sertraline
Paroxetine
What are the antihypertensive options in pregnancy?
- Labetalol
- Nifedipine
In which phase of the menstrual cycle do women have pms?
Luteal
GBS should be offered to which groups and given when?
Give 3-5 weeks before delivery date
Give to
Prematurity
PROM
Previous GBS infection
Pyrexic mother
Uterine fibroids are more common in white women
Falsw
What are the high risk factors for pre eclampsia
Current hypertension
Hypertension in previous pregnancy
CKD
Autoimmune disease
What are the moderate risk factors for preeclampsia
primi
>40
10 year pregnancy interval
BMI >35
+ve FHx
Multiple pregnancy
What are the diagnostic thresholds for gestational diabetes
fasting glucose >=5.6
2hr glucose >=7.8
When should insulin be started over metformin, in gestational diabetes
FG >7
Borderline (6-6.9) + complications
Metformin should be continued in pre-existing diabetes and pregnancy
True
Apart from a history of NTD, when should a woman take the higher dose of folic acid?
Diabetes, obese, coeliac disease, thalassaemia, anti epileptic drugs
Which is the antibiotic of choice in PPROM
Erythromycin
Risk factors for cord prolapse
prematurity
multiparty
polyhydramnios
twins
abnormal presentation
artificial rupture of membranes (amniotomy)
How is urge incontinence managed?
- Bladder retraining (min 6 weeks)
- Antimuscuranics (oxybutynin, tolterodine, darifenacin)
- Mirabegron
Tests in the combined and quadruple tests
Combined: PAPPA, nuchal, HCG
Quad: AFP, unconjugated estriol, HCG, Inhibin A
Which vaccines are live and should not be given in pregnancy
MI BOOTY
MMR
Influenza
BCG
Oral polio
Oral rotavirus
Typhoid
Yellow Fever
What is the medical management options of primary PPH
- IV oxytocin
- IV/IM ergometrine if no HTN
- Carboprost IM if no asthma
- Sublingual misopristol
What are the first line medications for hyperemesis
PO cyclizine / promethazine
PO prochlorperazine / chlorpormazine
Incubation period of rubella
14-21 days
Infective period of rubella
7 days before symptoms to 4 days after rash onset
How is menorrhagia secondary to fibroids managed?
LNG-IUS
NSAIDS
TXA
COC
Oral progestogen
Guidelines on starting pop
Commencing up to and including day 5 of the cycle = immediate protection otherwise condoms for 48hrs
most common side effect of POP
irregular bleeding
Emergency contraception in the post part period is needed when?
After day 21 with emergency medication
After day 28 with CuIUD
POP post partum
anytime + additional contraception after day 21 for 48hrs
When should the COCP not be given post partum
First 21 days
If breastfeeding < 6 weeks PP
