Obstetrics management Flashcards
What is the management of Chorioamnionitis:
Chorioamnionitis:
1st line- IV Antibiotics- gentamicin + ampicillin
- prompt delivery of foetus- C section
What are the x2 most common organism which causes Chorioamnionitis?
E.coli and GBS
What is the management of respiratory depression induced by Magnesium sulfate?
1st line- IV Calcium Glucognate (stabilises the cardiac membrane)
What is the management of gestational diabetes?
1st line- if fasting plasma levels are <7- trial of diet and exercise for 2 weeks
2nd line- if diet and exercise trial fails to work- commence metformin
3rd line- insulin (*this is 1st line if fasting glucose >7)
What is the management of Trophoblastic disorders?
1st line- evacuation of the uterus
(*must avoid pregnancy for the next 12 months)
What is the management of GBS in labour?
intra-partum Benzylpenicillin
What is the prophylactic management of GBS?
prophylactic- Benzylpenicllin
What is the management of a neonate born with a mother that is GBS positive?
1st line- IV penicillin + gentamicin
(*saw this on NICU evening shift)
What is the 1st line investigation on premature prolonged rupture of membranes? (PPROM)
1st line- a speculum examination should be confirmed to identify any pooling amniotic fluid
-Digital examination is totally contra-indicated
what type of examination is totally contra-indicated in PPROM
-Digital examination is totally contra-indicated
what is the 1st line management of PPROM?
Management:
1st line- oral erythromycin should be given for 10 days (until contractions and delivery begins)
2nd line- if pre-term labour occurs give IV magnesium sulfate + steroids for foetal protection
What is the management of a neonate high risk of hepatitis b?
Babies high risk: (*born to mothers with acute or chronic hepatitis b)
1st line- vaccination + hepatitis B immunoglobulin
What is the management of placenta praveia?
a) no bleeding
b) acute bleeding present
No bleeding:
This is a low lying placenta. It is detected at the booking scan at 12 weeks. Repeat scan is carried out at 32-24 weeks and elective C section planned at 37 weeks.
Acute Bleeding present in 3rd trimester:
1st line- emergency C section
What is the management of Placental Abruption?
immediate C section
What is the management of Rubella in pregnancy?
Management: (*DO NOT GIVE VACCINE WHEN THEY ARE PREGNANT)
- non-immune mothers should be offered the MMR vaccination in the post-natal period
- MMR vaccines should not be administered to women known to be pregnant or attempting to become pregnant
What virus causes Rubella?
togavirus
