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Clinical OBS/GYN > Fetal Medicine > Flashcards

Fetal Medicine Flashcards

1
Q

Role of Chorionicity in Multiple Pregnancy?

A

Monochorionic twins are at higher risks of adverse outcomes than dichorionic twins – miscarriage (6x), growth retardation (2x), preterm delivery (2x), and perinatal death (2x)

Chorionicity is determined with US in the first trimester

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2
Q

Signs of Dichorionic Pregnancy on ultrasound?

A

Lambda sign at the site of membrane insertion

Widely separated caesarean or placentae

Features of different sexes (dizygotic twins are always dichorionic)

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2
Q

Signs of Monochorionic Pregnancy on ultrasound?

A

T sign at the site of membrane insertion

Absence of the lambda sign at <14 weeks is diagnostic

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2
Q

Complications of Multiple Pregnancy?

  • Maternal?
  • Fetal
A
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2
Q

Delivery of Multiple Pregnancies?

A
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3
Q

Management of twin-to-twin transfusion Syndrome

A

Laser ablation of the placental anastomoses

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4
Q

Classification of Small for Gestational Age?

A

SGA refers to a fetal weight that is less than the 10th centile for a given gestational age

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5
Q

Causes of SGA?

A
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6
Q

Risk Factors for SGA?

A
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7
Q

Complications of SGA?

A
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8
Q

Investigations for SGA?

A
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9
Q

Post Natal Care of SGA?

A
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10
Q

Causes/Risk Factors for Intrauterine Growth Restriction?

A
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11
Q

Complications of IGR?

A
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12
Q

Investigations for Intrauterine Growth Restriction?

A
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13
Q

Management of IGR?

A
14
Q

Indications/Benefit for Steroids in Pregnancy?

A

Indication:

  • Planned Pre-Term Delivery
  • Spontaneous Preterm Labour
  • Preterm Prelabor ROM

Benefit: steroids reduce the risk of prematurity without increasing the rates of neonatal or maternal sepsis

15
Q

Dosage/Timing of Steroids in Pregnancy?

A
16
Q

Special Considerations when giving patient with Diabtetes Steroids?

A

People with diabetes should be carefully monitored, as they may require additional insulin (steroids cause hyperglycemia)

17
Q

Dosage/Timing/Benefit of Magnesium Sulfate?

A
18
Q

________________ refers to a low amniotic fluid volume.

Definition?

A

Oligohydramnios refers to a low amniotic fluid volume

19
Q

Causes of Oligohydramnios?

A
20
Q

Complications of Oligohydramnios

A
21
Q

Investigations for Oligohydramnios?

A
22
Q

________________ refers to the presence of excess amniotic fluid

Definition?

A

Polyhydramnios refers to the presence of excess amniotic fluid

23
Q

Causes of Polyhydramnios?

A
24
Q

Complications of Polyhydramnios?

A
25
Q

Clinical Features of Polyhydramnios?

A
26
Q

Management of Polyhydramnios?

A

Clinical OBS/GYN (15 decks)

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