RANDOM OBGYN STUFF Flashcards
What is the most common side effect of the POP and COCP?
irregular menstrual bleeding
WHat are the absolute CI to the COCP?
more than 35 years old and smoking more than 15 cigarettes/day
migraine with aura
history of thromboembolic disease or thrombogenic mutation
history of stroke or ischaemic heart disease
breast feeding < 6 weeks post-partum
uncontrolled hypertension
current breast cancer
major surgery with prolonged immobilisation
What are the relative CI to the COCP?
BMI > 35 kg/m^2*
more than 35 years old and smoking less than 15 cigarettes/day
family history of thromboembolic disease in first degree relatives < 45 years
controlled hypertension
immobility e.g. wheel chair use
carrier of known gene mutations associated with breast cancer (e.g. BRCA1/BRCA2)
current gallbladder disease
Describe the ages for cervical screening
If you’re between 25 and 49 and registered with a GP, you’re usually invited for screening every three years. Once you reach 50, you’re invited every five years.
What HPV strains cause cervical cancer?
types 16 and 18
When is HPV jab given?
12-13 years age (year 8)
What is the difference between Gillick competence and the Fraser guidelines?
Gillick = assessing compentency of under 16s Fraser = specific for contraception
What is the management for a woman w bishop score of 3?
do progestin pessary
What is the name of the surgical mx of a bartholin’s cyst?
Marsupialization
What is the other name of herceptin?
Trastuzumab
What is the surgical mx of a cystocele?
anterior wall repair
What test is used to check anti-D injection needs to occur?
A Kleihauer test is used to confirm transplacental blood loss from fetus to mother. The test is performed on the mother’s blood; the blood undergoes acid elution and staining.
Describe the protocal for sensitising situation. What are these sensitising situations?
Anti-D immunoglobulin should be given as soon as possible (but always within 72 hours) in the following situations:
delivery of a Rh +ve infant, whether live or stillborn
any termination of pregnancy
miscarriage if gestation is > 12 weeks
ectopic pregnancy (if managed surgically, if managed medically with methotrexate anti-D is not required)
external cephalic version
antepartum haemorrhage
amniocentesis, chorionic villus sampling, fetal blood sampling
abdominal trauma
++ NICE (2008) advise giving anti-D to non-sensitised Rh -ve mothers at 28 and 34 weeks
What are the possible complications of multiple pregnancy?
Antenatal complications polyhydramnios pregnancy induced hypertension anaemia antepartum haemorrhage
Fetal complications -
perinatal mortality
prematurity (mean twins = 37 weeks, triplets = 33)
light-for date babies
malformation (*3, especially monozygotic)
Labour complications PPH increased (*2) malpresentation cord prolapse, entanglement locked twins vasa praevia emergency c-section
What is the mx of a pregnant woman with GBS? When is this given ?
IV benzylpenicillin in labour