passmed misc Flashcards
mastitis - indications for oral antibiotics
infected nipple fissure
symptoms not improving after 12-24hrs
+ breast milk culture
HIV in pregnancy - viral load < 50 at 36wks
vaginal delivery
initial Mx - rubella in pregnancy
discuss immediately with health protection unit
~ 50% cord prolapses occur after…
artificial rupture of membranes
Management of placental abruption when the fetus is alive, <36 weeks and not showing signs of distress
admit and administer steroids
Mx - pt with unstable bipolar disorder taking lithium becomes pregnant
switch medication
prev GDM
OGTT at booking
contraindications to tocolysis
>34wks chorioamnionitis cervix >4cm non-reassuring CTG fatal fetal anomaly IU death IUGR APH PET maternal haemo-instability
GDM - what would indicate trial of diet and exercise
fasting glc < 7
Mx following premature rupture of membranes if spontaneous labour does not occur within 24hrs
induction of labour
when can CUBS be done
only done 11 - 13+6
Mx placental abruption <36wks
fetal distress - CS
no fetal distress - observe, steroids, consider delivery
mx placental abruption > 36wks
fetal distress - CS
no fetal distress - vaginal delivery
how to calculate EDD
1st day of last period + 9mo and 7days
