OSCE Key Stats Flashcards
Timing of growth scans for DCDA twins
4 weekly from 24 weeks
frequency of growth scans for MCMA or MCDA twins
Fortnightly from 16 weeks
Timing of delivery for MCMA twins
32 weeks
Timing of delivery for MCDA twins
36-37 weeks
Timing of delivery for DCDA twins
37-38 weeks
Mode of birth recommended for MCDA or DCDA twins
Vaginal birth if the leading twin is cephalic
if the leading twin is non cephalic, recommend CS
of the women with twin pregnancies who attempt vaginal birth, what percentage will achieve a vaginal birth?
60-70%
the risk of uterine rupture with VBAC
6 per 1000
The risk of uterine rupture with VBAC if there are 2x prev CS
16 per 1000
what is the likelihood of a successful VBAC?
74%
in the term breech trial, what was the neonatal mortality between vaginal birth versus elCS
vaginal: 5
CS: 1.6
from what gestation can you offer ECV?
37+0
success of ECV in nullip
40
success of ECV in multip
60%
list some absolute CI for ECV
abnormal CTG
need CS anyway ie praevia
APH in the last 7 days
ROM
Multiple pregnanc
relative contraindications for ECV
oligo
SGA with abnormal dopplers
PET
major fetal anomalies
uterine anomalies
when should an elective CS for breech be performed?
39 weeks
List contraindications to vaginal breech birth
footling
hyperext of the fetal neck
cord presentation
abnormal CTG
EFW <10th or > 3.8kg
timing of induction for PET
37 weeks
When do you check a progesterone level of confirm ovulation?
Mid luteal phase, which is 7 days before the next menses is predicted
treatment of first episode of genital herpes
valaciclovir 500 bd for 7 days
treatment of recurrent episode of genital herpes
valaciclovir 500mg bd for 3/7
true or false: all first episodes of gential herpes should be treated regardless of the onset of symptoms
True. all treated with 500 BD for 7/7 regardless of onset.
what is the first line alternative prescribing to HRT?
Gabapentin 100 TDS
recommendations for lifestyle changes for menopause
Decrease caffiene, decrease alcohol, no smoking, regular resistance training
what is the benefit in reduction of flushes for SSRI or gabapentin
50%
what is the reduction in flushes in menopause using MHT
80%
