Pregnancy Medicine

Question 1

Cardiac contraindications to pregnancy

Answer 1

Eisenmenger syndrome - from VSD
Pulmonary hypertension
Severe coarctation, AS or MS
Marfan syndrome - with dilated aorta more than 45mm

Question 2

Indications for antepartum venous thromboembolism prophylaxis

Answer 2

Single unprovoked VTE
Pregnancy / oestrogen related VTE
Multiple VTE not on long term anticoagulation

Question 3

Indications for postpartum venous thromboembolism prophylaxis

Answer 3

Prior VTE

Question 4

Treatment for venous thromboembolism in pregnancy

Answer 4

Low molecular weight heparin

Warfarin - post 1st trimester in cardiac mechanical valve replacements

Question 5

Treatment for HBV in pregnancy

Answer 5

Mother - tenofovir in 3rd trimester if high viral load

Babies - HBIG, and HB Vax x3