Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

GOSH > Abnormal high risk labour > Flashcards

Abnormal high risk labour Flashcards

(51 cards)

Start Studying
1
Q

What must you NOT do once a PROM or PPROM is diagnosed? Why?

A

Digital vaginal examination

Risk of infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What does PROM stand for? What does this mean?

A

premature rupture of membranes - rupture of membranes BEFORE labour

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What does PROM stand for?

A

premature rupture of membranes - before labour

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What does PPROM stand for?

A

preterm PROM

before 37 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

when does PPROM occur?

A

Before 37 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is different about speculums in PPROM?

A

THEY ARE STERILE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How do you diagnose PPROM?

A

Clinical diagnosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How do you diagnose PPROM?

A

Clinical diagnosis

Pooling amniotic fluid on sterile speculum

DO NOT PERFORM UNNECCESARY DIGITAL VAGINAL EXAMINATION ONCE DIAGNOSED

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How common is PPROM?

A

8-10% term pregnancies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How common are PROM and PPROM?

A

PROM: 8-10% term pregnancies

PPROM: 2% of all pregnancies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What investigations would you do for a patient with PPROM?

A

History

FBC (WCC)
CRP
HVS
MSU

Maternal pulse and temp

CTG

Check pH using nitrazine

Ferning
Placental alpha-microglobulin-1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the probability of spontaneous labour after PROM and PPROM?

A

PROM: 90% within 48 hours

PPROM: 80% within 7 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How common are PROM and PPROM?

A

PROM in term pregnancies: 8-10%

PPROM: 2% of all pregnancies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the probability of spontaneous labour after PROM and PPROM?

A

PROM at term: 90% within 48 hours

PPROM: 80% within 7 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How would you manage a patient with PPROM?

A

Antibiotics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How would you manage a patient with PPROM?

A

Antibiotics - erythromycin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What monitoring would you want to do in a patient with PPROM?

A 
growth
temp
FBC
CRP
until 34 weeks - when plan to induce labour
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

At what date in PPROM would you aim to induce labour?

A

34 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is the definition of SROM?

A

Spontaneous rupture of membranes; term usually used at term

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is prolonged SROM?

A

> 24 hours. Membranes have ruptured, but labour hasn’t started

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is ARM?

Study These Flashcards
A

artificial rupture of membranes

22
Q

When is ARM done?

Study These Flashcards
A

Part of induction or augmentation of labour

To assess amniotic fluid

23
Q

What is the definition of breech presentation?

Study These Flashcards
A

in utero fetal position that leads to the buttocks being delivered first.

24
Q

How often does this happen?

Study These Flashcards
A

about 3% of pregnancies at term

25
What are the different classifications of presentation?
frank/extended (65%) complete/flexed (10%) incomplete/footling (25%)
26
What should you do if a baby is found to present as breech?
Examination US scan Antenatal management: external cephalic version C-section Vaginal breech delivery
27
What should you do if a baby is found to present as breech?
Examination US scan Antenatal management: external cephalic version (ECV) C-section Vaginal breech delivery
28
What is external cephalic version?
moving the foetus into position - out of breech and in to the correct position
29
What is external cephalic version?
moving the foetus into position - out of breech and in to the correct position Apply gentle pressure
30
When is ECV offered?
36-37 weeks
31
What is the success rate of ECV?
35-50%
32
What are risks of ECV?
Low complication rate Pain Transient bradycardia (resolves spontaneously) Abruptions (<1%) Prolonged bradycardia Emergency LSCS tocolysis (cord wrapped around baby's neck)
33
What must you give mothers who are Rh negative? Why?
Anti-D Risk of veto-maternal haemorrhage Sensitising event
34
What are some absolute contra-indications for ECV?
Placenta praaevia Uterine malformations Rupture membranes Abnormal CTG Multiple pregnancy
35
What are some absolute contra-indications for ECV?
Placenta praaevia Uterine malformations Rupture membranes Abnormal CTG Multiple pregnancy
36
What are some relative contra-indications for ECV?
Previous CS Active labour Preeclampsia Oligohydramnios Fetal abnormality Hypertension of fatal heart Maternal cardiac disease
37
What are some relative contra-indications for ECV?
Previous CS Active labour Preeclampsia Oligohydramnios Fetal abnormality Hypertension of foetal heart Maternal cardiac disease
38
What is the main factor determining pregnancy outcome in multi-pregnancies?
Chorionicity
39
How is chorionicity determined? How effective is this?
US at 10-14 weeks 100% effective
40
What is the main factor determining pregnancy outcome in multi-pregnancies?
Chorionicity (whether the babies have separate placentas, chorionic sacs)
41
What are some maternal complications in multiple pregnancy?
Hyperemesis gravidarum Anaemia Miscarriage Preterm labour and delivery Gestational diabetes Pre-eclampsia Antepartum haemorrhage Postpartum haemorrhage Postnatal depression
42
What are some foetal risks in multiple pregnancy?
Prematurity Congenital abnormalities: chromosomal, structural eg. cardiac, bowel and neural tube (2-3 times higher in MZ twins) Foetal growth restriction Intrauterine death Twin-to-twin transfusion syndrome
43
What is included in multiple pregnancy antenatal care?
USS at 11 - 14 weeks Oral iron and folic acid 5mg Detailed anatomy scan and cardiac scans Regular growth scans: DCDA 4 weekly (from 24 weeks) MC twins 2 weekly (from 16 weeks) Regular BP and urine checks
44
When does a delivery of DCDA occur?
37-38 weeks
45
When does MCDA delivery occur?
34-37 weeks
46
When does MCMA delivery occur? HOW?
34 weeks CS
47
If the presenting twin is cephalic, what would the advice be re. mode of delivery?
vaginal delivery recommended
48
If the presenting twin is cephalic, what would the advice be re. mode of delivery?
vaginal delivery recommended
49
If the presenting twin is breech/transverse lie, what would the advice be re. mode of delivery?
CS
50
How regular are the growth scans for DCDA?
4 weekly (from 24 weeks)
51
How regular are MC twins scanned?
2 weekly (from 16 weeks)

GOSH (33 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions