Sept 2016 recall Flashcards
Risk of postnatal psychosis if bipolar?
25%
50% if family history as well
Risk of EOGBS without screening program
0.6/1000
Risk of EOGBS after a temp in labour?
5.3/1000
Risk of EOGBS if delivering preterm?
2.3/1000
If positive for GBS what is the risk of EOGBS?
2.5/1000 (1/400)
How many times increased is the maternal mortality in multiple pregnancy?
2.5X
Risk of adverse outcome in a home brith?
9/1000
Risk of adverse outcome in midwifery led/ CDS
5/1000
% of babies that will spontaneously move back to breech after ECV
3%
Cure rate of a post dural headache after a blood patch?
60-90% cure
When is the earliest the FH can be heard?
35/37 days
Risk of neonatal infection with primary HSV 6 weeks before delivery
41%
Risk of going into labour before planned c section
10%
Which suture should be used for IAS or EAS
PDS 3.0
What is recommended in pregnancy if spinal lesion above T4?
Ventilation assessment
What level of spinal lesion is at risk of autonomic dysreflexia?
Above t6
At what spinal level injury would you have altered perception of fetal movements and labour pains?
Above t10, risk of late arrival in PTL and UTI
What is the risk for spinal lesions above t12?
Risk of malpresentation
What is the lowest acceptable preductal sats of a neonate at 1 minute?
60%
They go up in 5% increments every minute
Engaging diameter of a face presentation?
9.5cm
How does nitric oxide work?
Suppresses reticulo-endothelial system, increases endorphins and dopamine, reduces pain pathways
How long does a CTG have to be normal for (after FH concerns) before you return to intermittent auscultation
20 mins
What condition are patients with CF more likely to develop in pregnancy?
GDM
Risk of congenital abnormality and autism if taking sodium valproate?
Congenital defect 10% (baseline risk 2.3%)
Autism, 3x likely
Inheritance of duchenne muscular dystrophy?
X linked recessive
Last pregnancy t21, found to have maternal translocation of the 21 gene what is the risk of recurrent down syndrome?
if maternal translocation risk is 1:10
If paternal translocation 1:50
(however most are caused by dysjunction, 1% above mat age risk when caused by this)
What is GBS also known as?
Streptococcus agalactiae
Timing of delivery for MCMA twins?
32-34 weeks
Timing of delivery for MCDA twins?
37 weeks
Commonest presenting symptom of cerebral venous thrombosis?
Headache
(MRI will show a filling defect)
In pregnancy what is the first line ix for ?MI
ECG- would show ST elevation, T wave inversion is v common
Then troponin
Reasons for a baby to be on the hypo policy?
IUGR
LGA
Diabetic mothers
Mothers on b blockers
Preterm
Disease most inc risk due to male fetus
AFLD
What is the infectious period of influenza A/ swine flu (H1N1)
1 day prior to symptoms and up to 7 days after (incubation 1-7 days)
What is the increased risk of stillbirth with malaria falciparum
2-7 fold increase
What is the treatment of severe falciparum malaria?
IV Artesunate- can use for any species when malaria is severe
(IV quinine if artesunate isnt available)
What is the treatment for uncomplicated falciparum malaria?
Oral Quinine and oral Clindamycin
If vomiting, can give the quinine IV but need to give it alongside a dextrose infusion
What is the treatment for uncomplicated NON falciparum malaria?
Chloroquine
Can give a once a week dose to prevent relapse in pregnancy.
Remember to test neonate for G6PD deficiency as high risk of haemolysis with use of these drugs
Most common antimalaria prophylaxis in pregnancy
Mefloquine
What is the neonatal management if a pregnant woman has been treated for malaria in pregnancy
Cord blood film and then weekly bloods until 28 days old
