Women's health- imaging, consent and ethics Flashcards
what does the 12 week scan assess
heart beat to assess viability
crown rump length to date the pregnancy
number of foetuses
nuchal translucency
what does the 20 week scan assess
any abnormalities
- detailed whole body scan
to asses the nature of the abnormality
-viable or not
to assess the extent of the abnormality
-referral to foetal maternal specialist
assess placenta and its location
what are the risk factors for having further scans post the 20 week scan
-smoking
- hx of pregnancy complications
- diabetes
- high blood pressure
what are the measurements taken in scans
head circumference
crown to rump
what does amniocentesis assess
looking for genetic abnormalities
skin cells are assessed
what does an MR sequence show of foetal developemnt
brain and soft tissues
what is the counselling given if there is a scar pregnancy?
when a pregnancy implants in a scar
counselled to terminate the pregnancy.
what is a bi cornuate uterus
partial fusion of the Mullerian ducts during fetal development.
what is the main form of imaging in obs and gynae
USS
MRI in certain cases
define battery (a form of assualt)
legal term for failing to obtain informed consent before performing a test or procedure on a patient
define patient autonomy
right of patients to make decisions about their medical care without their health care provider trying to influence the decision
allows for education but not persuasion
define competency
legal term to indicate a person has the ability to make and be held accountable for their actions
what are the elements of full informed consent
nature of the decision/procedure
reasonable alternatives to be proposed
the relevant risks, benefits, and uncertainties related to each alternative
assessment of the patient understanding
the acceptance of the intervention by the patient
what does primigravida mean
first pregnancy
if there is foetal distress can a C section be refused?
yes the mother can refuse- foetus does not have rights but mother does
