Pregnancy Flashcards by Ella Jolline Ilagan

2 supplements recommended for pregnancy

Folic acid 0.5 or 5 12 weeks before and until 1st trimester
Iodine 150 throughout pregnancy

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4 Hyperemesis gravidarum criteria

electrolyte imbalance
moderate to severe dehydration
loss of > 5% of body weight
ketosis

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Medication for hyperemesis gravidarum with the least side effects

Pyridoxine or vitamin B6

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Cervical shortening cutoff

2.5cm

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Drug of choice for antenatal thrombophylaxis

Low molecular weight heparin (enoxaparin)

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Postnatal thrombophylaxis

Warfarin and LMWH

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Teratogenic effects of warfarin on the 1st trimester

fetal chodrodyplasia punctata

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Teratogenic effects of warfarin on the 2nd trimester

mental retardation
fetal optic atrophy

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2 definitive tests for PE

Ventilation perfusion syntigraphy and CTPA

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7 indications of anti D administration

Spontaneous abortion
ECV
Significant closed intraabdominal trauma
Termination of pregnancy
Chorionic villus sampling
Ectopic
Threatened abortion after 12 weeks

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UTI meds for pregnancy

Cephalexin, Coamoxiclav, Nitrofurantoin

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What AOG is cerclage best done

22-24 AOG

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2 Indications for cerclage

2 ore more consecutive prior 2nd trimester pregnancy losses
3 or more preterm births before 34 weeks

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Criteria to qualify as hydrops fetalis (4)

abnormal accumulation of fluid in 2 or more compartments
- ascites
- pleural eff
- pericardial eff
- skin edema (skin thickness >5mm)

conditional:
placental thickening
polyhydramnios

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2 types of hydrops fetalis

Immune and non immune

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Cause of immune hydrops fetalis

ABO group incompatibility

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4 causes of hydrops fetalis

hemolytic disease of the newborn
severe anemia
chromosomal abnormalities
CHD

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6 Effects of tabacco during pregnancy

Premature brith
Spontaneous abortion
Low birth weight
Still birth
Placenta previa
Placental abruption (double if >20 cigarettes per day)

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Fetal alcohol syndrome facial abnormalities (3)

smooth philthrum
thin upper lip
small palpebral fissures

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FAS (3)

Facial abnormalities
CNS
Growth deficit

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APAS criteria

1clinical and 1 laboratory (2 positive results 12 weeks apart)

Clinical
Vascular thrombosis
Pregnancy morbidity

Lab
Lupus anticoagulant
Anticardiolipin antibody
Anti B2 glycoprotein antibody

Treatment for APAS

Aspirin and Heparin (LMWH or Unfractionated)

Best time to perform ultrasound to check for physical abnormalities including neural tube defects

18-20

Best time for Down syndrome screening

15-17 weeks

Second trimester screening tests for down syndrome and results (4)

free BHCG increased AFP dececreased Unconjugated estriol decreased Inhibin A increased

When is amniocentesis best done

16-18

When is chorionic villous sampling best done

10-12

Frist trimester serum screening for Down syndrome

Free BHCG inc PAPP-A decreased plus nuchal translucency

Safest option for RA in pregnancy

Corticosteroids Sulfasalazine and HCQ can also be used

6 list of risk factors for cord prolapse

PROM Polyhy Breech Multiparity Multiple gestation GDM

What can be given to women who have a history of idiopathic preterm delivery detected by UTZ who do not meet the criteria for cerclage

Vaginal progesterone

7 risk factors for spontaneous abortion

35 years old smoking high doses of caffeine uterine abnormalities viral infection thrombophilia chromosomal abnormlaities

Subarachnoid hemorrhage

1. rule out intracranial hemorrhage by CT 2. If no intracranial hemorrhage, may give aspirin and do an LP (12 hours after onset of headache)

What cardiac condition can lead to death during pregnancy

Complication of longstanding MS in pregnancy

Pulmonary hypertension

Well tolerated cardiac pathologies during pregnancy (4)

MVR TR AR AS

Contributing factors in the development of pulmonary edema in pregnancy (3)

Increase blood volume Increase cardiac output Tachycardia

Most common method of termination of pregnancy before 20 weeks in AUS

Suction curettage

What AOG is suction curettage for abortion most applicable

6-14 AOG

What AOG is medical abortion most applicable

4-9

3 options for medical abortion (cite the 3 meds)

Misoprostol Mifepristone MTX

How to give mifepristone?

single dose of mifepristone followed after 2 days by misoprostol q4

How to give Methotrexate

MTX followed by 7 days of misoprostol

Until what AOG is the possibility of spontaneous version

36-37 AOG

5 recommendations for discontinuation of antiepileptic drugs

seizure free more than 2 years explained risk and benefits risk of recurrence withdrawal must be guided by specialist carried out slowly 3-6 months

4 antihypertensives that are not deemed safe for the baby as they are excreted into breast milk in sufficient amounts to affect the infant.

Atenolol, prazosin, lisinopril, and frusemide

3 antihypertensives safe for both the mother and the baby during lactation.

Propranolol, labetalol, and metoprolol

Fetotoxic Vitamin

Vitamin A

3 antihypertensives safe for both the mother and the baby during lactation.

Propranolol, labetalol, and metoprolol