Pre-existing maternal disease

Question 1

what medications should be stopped pre-conception

Answer 1

ACEi
ARBs
thiazides
thiazide like diretics

Question 2

what should be used to control chronic HTN in women attempting to get pregnant

Answer 2

1st = labetalol
2nd = nifedipine

Question 3

what should be given during preg to control chronic HTN

Answer 3

labetalol/nifedipin

75mg aspirin OD from 12w gestation

Question 4

what supplement should be given to DM women attempting to conceive

Answer 4

high dose folic acid (5mg) till 12 w gestation

Question 5

What is the medical management of a UTI in antenatal

Answer 5

1st - nitrofurantoin 50mg QDS (avoid in womnen who full term)
2nd (if not improvement) - amoxicillin, cefalexin

Question 6

1st line management of maternal syphilis

Answer 6

IM Benzylpenicillin

Question 7

1st line management of maternal Toxoplasmosis

Answer 7

Spiramycin

Question 8

prevention of toxoplasmosis

Answer 8

avoid raw meat
avoid cats/cat litter
wear gloves when gardening

Question 9

1st line antibiotic for listeria

Answer 9

IV amoxicillin

Question 10

what are some high risk foods for listeria

Answer 10

unpasturised milk
uncooked soft cheese
pate

Question 11

what is the management of interpartum group B strep

Answer 11

IV benzylpenicillin as soon as onset of labour and till delivery

Question 12

what advise should be given to HIV mothers post birth

Answer 12

no breastfeeding

Question 13

what should all newborns to HIV mother be given

Answer 13

ART within first 4 hours of life and for 2-4w

low risk - zidovudine monotherapy
high risk - triple ART (zidovudine, lamivudine, nevirapine)