Obstetrics - Preconception Flashcards

1
Q

Preconception

History

A
Previous pregnancies
Gynaecological history (STIs screening)
Menstruation history
Contraceptive history
Family history
Social history (safety, environments)
PMHx
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2
Q

Preconception counseling

Supplements

A
Folic acid supplementation (prevent neural tube defects)
Iodine supplementation (for foetal brain development)
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3
Q

Preconception counseling

Smoking/Alcohol/Drugs

A
Quit smoking (impairs O2 transfer, increased perinatal mortality)
Quit alcohol (foetal alcohol syndrome features include growth retardation, structural defects, joint anomalies, cardiac defects)
Quit drugs (increased perinatal mortality, pre-term labour, foetal growth restriction, miscarriage, placental abruption)
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4
Q

Preconception counseling

Diabetes

A

Diabetic control (decrease congenital malformations, miscarriage, preterm birth, abnormal birth weight)

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5
Q

Preconception counseling

Meds

A

Medications (review, some teratogenic)

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6
Q

Preconception counseling

Immunisations

A

Immunisations (rubella, varicella, pertussis, influenza)

CST

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