Large for dates Flashcards
1
Q
Clinical presentations
A
Usually none
Breathlessness->polyhydramnios
++Vomiting->multiples, trophoblastic disease
2
Q
Examination
A
+fundal height
+palpable fetal parts if multiples
3
Q
Differential (6)
A
Incorrect Obesity Polyhydramnios Accelerated growth Multiples Molar pregnancy
4
Q
Definition of polyhydramnios
A
Max AFI >8cm
Fluid >20 cm
5
Q
Cause of polyhydramnios
A
Multiples Maternal->GDM Neonatal: Gastroduoneal atresia, compression Neurological, swallowing Hydrops Infection->TORCH, Syphillis Twin to twin transfusion Placental: Chorioangioma
6
Q
Investigations for polyhydramnios
A
USS
GTT
Infection screen
7
Q
Complications of polyhydramnios
A
Preterm Placental abruption Unstable lie Abnormal presentation Cord prolapse Uterine atony
8
Q
Management of polyhydramnios
A
Treat underlying
Amnioreduction->may need repeated drainage
9
Q
Define macrosomia
A
Weight >90th centile, >4000-4500g
10
Q
Complications of macrosomia
A
Obstructed labour
Birth trauma
Shoulder dystocia
