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Reproduction > Pregnancy > Flashcards

Pregnancy Flashcards

1
Q

How common is early bleeding in pregnancy?

A
  • 20% experience
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2
Q

Symptoms of a miscarriage?

A
  • period type cramps

- bleeding

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3
Q

Investigations for a miscarriage?

A
  • USS

- Speculum (OS open or closed)

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4
Q

Types of miscarriage?

A
  • threatened
  • inevitable
  • incomplete
  • complete
  • missed
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5
Q

Management of a miscarriage?

A
  • conservative
  • medical
  • manual vacuum aspiration
  • surgical
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6
Q

What is given prior to miscarriage surgery?

A
  • Anti-D
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7
Q

Causes of recurrent miscarriage?

A
  • age
  • APS
  • Thrombophillia
  • uterine abnormality
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8
Q

Pathology of molar pregnancy?

A
  • swollen chorionic villi
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9
Q

What is a risk associated with complete molar pregnancy?

A
  • transformation to choriocarcinoma
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10
Q

What is a chorionic haematoma?

A
  • blood pool between endometrium and embryo
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11
Q

Symptoms of ectopic pregnancy?

A
  • pain>bleeding
  • dizziness
  • collapse
  • shoulder pain
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12
Q

Management of ectopic pregnancy?

A
  • surgical

- medical - methotrexate

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13
Q

Treatment of bacterial vaginosis?

A
  • metrondiazole
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14
Q

Treatment of chlamydia?

A
  • erythromycin

- amoxicillin

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15
Q

What is hyperemesis gravidarum?

A
  • excessive vomiting in pregnancy
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16
Q

Risks associated with hyperemesis gravidarum?

A
  • dehydration

- ketosis

17
Q

Treatment in hyperemesis gravidarum?

A
  • rehydration
  • anti-emetic
  • TPN
  • Steroids in severe cases?
18
Q

Treatment for rhesus negative mothers?

A
  • Anti-D
19
Q

Unplanned pregnancy complications - continuing pregnancy?

A
  • increased preterm birth
  • low birthweight
  • increased postpartum depression
  • reduced breastfeeding rates
20
Q

Clause C for abortion?

A
  • 23+6weeks

- pregnancy continues = greater risk than if terminated

21
Q

Clause E for abortion?

A
  • no gestational limit

- substantial risk if the child was born

22
Q

Certificate A refers to what?

A
  • main certificate for abortion
  • 2 doctors assess
  • emergency = 1 doctor
23
Q

Medical abortion drugs?

A
  • mifepristone (1st)

- misoprostol (24-48hrs after)

24
Q

Medical abortion timeline?

A
  • <12 weeks = self-administered
  • > 12 weeks = repeated misoprostol doses
  • up to 21+6weeks
25
Q

Mifepristone drug?

A
  • anti-progesterone
26
Q

Misoprostol drug?

A
  • given 24-48hrs after mifepristone

- prostaglandin

27
Q

Medical abortion time limit?

A
  • 21 + 6
28
Q

Surgical methods of abortion?

A
  • cervical priming via misoprostol or osmotic dilators
  • electric vacuum
  • manual vacuum aspiration
  • dilation and evacuation (>14wks)
29
Q

Complications of abortion?

A
  • haemorrhage
  • blood transfusion
  • failed abortion
  • infection
  • uterine perforation
  • cervical traum
  • anti-d
  • VTE prophylaxis
30
Q

VTE prophylaxis for high risk women in abortion?

A
  • LMWH

Reproduction (25 decks)

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