Small & large for dates

Question 1

How is preterm birth defined?

Answer 1

Delivery between 24 and 36+6 weeks

Question 2

What are causes of preterm birth?

Answer 2

Infection 
Over distension 
Vascular (placental abruption) 
Intercurrent illness
Cervical incompitence

Question 3

How is small for gestational age defined?

Answer 3

<10th centile

Question 4

What is normal/abnormal in a cardiocotocography?

Answer 4

Accelerations are good

LATE deccelerations are bad

Question 5

What are the causes of a large for dates baby?

Answer 5

Wrong dates
Diabetes
Multiple pregnancy
Polyydramnios

Question 6

What is polyhydramnios?

Answer 6

Excess amniotic fluid

Question 7

What are the causes of polyhydramnios?

Answer 7

Monochorionic twins
Foetal anomaly
Maternal diabetes
Hydrops fetalis

Question 8

Symptoms of polyhydramnios

Answer 8

Discomfort
Labour
Membrane rupture
Cord prolapse

Question 9

What is zygosity?

Answer 9

The nuber of eggs fertilized to produce twins

Question 10

What is chorionicity?

Answer 10

Membrane pattern of the twins

Question 11

How is a multiple pregnancy diagnosed?

Answer 11

US at around 12 weeks

Question 12

When is a twin peak seen and what is it indicative of?

Answer 12

Seen on US at 12 weeks

Indicates dichorionic twin pregnancy

Question 13

How is multiple pregnancy managed?

Answer 13

More frequent antenatal visits

Detailed anomaly scan at 18 weeks

Question 14

How is gestational diabetes diagnosed?

Answer 14

Screened for at booking & 28 weeks
Fasting >5.1
2 hour >8,5

Question 15

How is gestational diabetes managed?

Answer 15

Regular monitoring
Offer delivery from 38 weeks gestation
Insulin therapy