REPRO 4.5 Flashcards
polyhydraminos causes
fetal trahceoesohageal fistula, rhesus, anencephaly, multiple pregnancy, hydrous fetalis/b19 infection, maternal DM, idiopathic
symptoms of polyhydraminos
discomfort, labour, membrane rupture, cord prolapse
ix for polyhydraminos
USS, clinical
multiple pregnancy dx symptoms
risks
USS at 12 weeks
exaggerated preg symptoms, high AFP, feel more than 2 poles
congenital anomalies, preterm labour, growth restriction, PET, APH, TTTT
rx for multiple pregnancies
more frequent antenatal visits. detailed anomaly scan at week 18, regular scans from 28 weeks, iron supplements
triplets or more
cs
diabetes risk factors
prev, prev big baby, obese, prev GDM, ethnicity
DM cx
hypoxia, macrosomnia, congenital awn, miscarriage, IUD, PET
treatment approach for DM
reg monitering for PET fetal anomaly scan diet weight offer delivery at 38w
further development of type 2 dm in mums risk factor and how many
70%
obesity, insulin treatment, IGT post part, ethnicity
what does it mean to be small for dates
<10th centile
maternal causes of IUGR
smoking, low BMI, v young, v old, htn, PET
fetal causes of IUGR
rubella, CMV, congenital anomalies, downs
placental causes of IUGR
infarcts, abruption - often secondary to htn
ix for IUGR
fundal symphyseal height
USS for estimated weight
liquor vol
when is liquor volume down
in placental insufficiency or rupture of membrane
50% of IUGR are what and the 50% are what
sym - just small
assym - head bigger - placental insufficiency
how to ix placental insufficiency
amniotic fluid index
doppler of blood flow
growth trajectory
consequences of being growth restricted
hypoxia, hypoglycaemia, hypothermia, polycythemia, abnormal neurological development post natally
preterm
24-36(+6)
Rf for prem
previous, multiple pregnancy, uterine anomalies, teen, parity 0 or over 5, ethnicity, smoking, drugs, BMI <20
causes of prem
infection, overdistention like fibroids, MP, polyhydramino
placental abruption, appendicits, pneumonia, cervical insufficiency, PROM
idiopathic
what can be done if the baby is okay after birth
wait a min to cut cord to allow placental transfusion
cx of prem
hypothermia, growth and nutrition, PDA, retinopathy of immaturity, hypoglycaemia, hyponatraemia, RDS
correct gestations age for how in babies born 32-36w
<32w
1 year
2 years
post dates is when
risks
> 42 weeks
placental insufficiency, meconium aspiration, oligohydraminos, still birth - rare
what can be done for a breech baby
external cephalic rotation at 38 weeks
if doesnt turn - CS
risks of vaginal delivery of breech baby
asphyxiation, cord prolapse
