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Reproductive Health > Integration day stuff > Flashcards

Integration day stuff Flashcards

1
Q

Pregnancy checks

A

Blood pressure
FBC
Rhesus D status and antibody screen
Haemoglobinopathies
Ultrasound
Oral glucose in high risk groups

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1
Q

Pregnancy checks

A

Blood pressure
FBC
Urinalysis
Rhesus D status and antibody screen
Haemoglobinopathies
Ultrasound
Oral glucose in high risk groups

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2
Q

Ultrasound checks for baby

A

Viability - 6 weeks
Dating
Combined screening
all done before 14 weeks

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3
Q

What is combined screening used for?

A

Chromosomal abnormalities - nuccal thickness
95% accurate

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4
Q

Risk assessment when use

A

Vulnerbale mothers
Risk to self or others
MDT meeting - holistiic, shared decision making

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5
Q

What can sertraine cause in baby?

A

Persistent pulmonary hypertension
Withdrawal in baby

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6
Q

High risk mental health refer in pregnancy

A

Bipolar
Schizophrenia
Fmaily history of these esp related to pregnancy

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7
Q

Post natal risk factors that increase mental health

A

Lack of sleep
Stress of new responsibility
Physiological changes
Social isolation from normal life/routine

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8
Q

What medications for mental health are safe in pregnancy?

A

None - transplacental transfer
Breast feeding - if dont then withdrawal

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9
Q

Contraindicated mental health medications in pregnancy

A

Sodium valproate

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10
Q

Conditions for taking soidum valproate

A

Long term refractory bipolar
Long term contraception in place
Yearly check ups

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11
Q

Slight contraindication in pregnancy mental health

A

Lithium
Carbamazipine
New generation antipsychotics

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12
Q

What thoughts can be normal and not qualify as a depressive episode?

A

Suicidal, harming the baby
Low self esteem

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13
Q

What mental health condition can often occur after pregnancy and pose risk to baby and mother?

A

Depression and psychosis

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14
Q

What is quite safe in pregnancy?

A

ECT
SSRIs

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14
Q

What is quite safe in pregnancy?

A

ECT
SSRIs

15
Q

MSE

A

Appearance
S
E
Perecption
Thoughts
Insight
Cognition

15
Q

MSE

A

Appearance
Speech
Emotions
Perecption
Thoughts
Insight
Cognitione

16
Q

Postpartum psychosis

A

Restless - pacing etc
Hallucinations/delusions

17
Q

Where do mothers with significant mental health problems to?

A

Mother and baby units

18
Q

Target for referral for new mother mental health issue

A

2-4 weeks

19
Q

Signs of domestic abuse in pregnancy

A

Multiple DNAs
Late presentation
Multiple presentations with vague symptoms and no findings
Demeanour

20
Q

When do you have to refer for safeguarding?

A

Pregnancy or child involved
Risk of public harm eg violence, STI and not getting treatment, driving
When women involved on own get consent, if none then still alert

21
Q

What can tocophobia lead to?

A

Intense dread of children that can lead to:
Women avoiding pregnancy
Terminating an otherwise wanted pregnancy
Demanding a C section in fist or subsequent pregnancies

22
Q

Impact of tocophobia

A

May decrease chance of uncomplicated vaginal delivery
May preduct postntala depression
Psychological input beneficial - counselling/CBT
Elective X section

23
Q

What is primary tocophobia?

A

Nulliparous women
Transmission of fear of childbirth over generations
History of sexual assault or traumatic gynaecological examination

24
Q

What is secondary tocophobia

A

Following prev traumatic delivery
Occurs with depressive illness, anxiety or PTSD

25
Q

What website to use for teratogenic drug check?

A

BUMPs - Best use of medicines in pregnancy

26
Q

What can sodium valproate cause in a foetus?

A

Foetal Valproate Syndrome - FVS

27
Q

What does foetal valproate syndrome cause?

A

Birth defects
Lifelong alterations to learning and behaviour
Ranges from mild to serious

28
Q

Birth defects linked to exposure to sodium valproate in the womb

A

spina bifida, heart defects, cleft lip and palate, hypospadias (where the hole in the penis is in the wrong place), and abnormalities of the finger
ASD, ADHD

29
Q

When is most risky time to take teratogenic drug in prengnanxy?

A

First 12 weeks - internal organs form
Any stagenfor neurological comps incl learning and behavioural chages

30
Q

Can you cannulate pregnant women in emergency situations with severe needle phobia?

A

Yes - deemed not to have capacity as needle phobia dominating thinking - amounts to involuntary compulsion therefore should not be prevented from safe delivery because of this. Most of the time patient is too unwell to consent anyway.

Reproductive Health (69 decks)

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