Labour/delivery/PN TOGs

Question 1

Types of bowel obstruction post CS

Answer 1

• Bowel sounds faint- Ogilvie
• Bowel sounds absent- Ileus

Question 2

Ogilvie vs ileus time frame

Answer 2

• Ogilvie very quick <48h usually
  Ileus- takes >24h to develop

Question 3

Ogilvie vs ileus xray

Answer 3

• Ogilvie- Large bowel dilation
• Ileus- small bowel

Question 4

Treatment for Ogilvie

Answer 4

Conservative- NBM, NGT w free drainage, treat Low K
Or
neostigmine if severe

Question 5

Risk factors for postpartum psychosis

Answer 5

• Hx of bipolar
• Fhx of PN psychosis or bipolar
• Prev PN Psychosis

Question 6

Incidence of PN psychosis

Answer 6

• 1-2:1000 deliveries overall
• If high risk then 1-2%

Question 7

Timing for psychosis

Answer 7

• 1-3days up to 2 weeks PN
• Neglects baby, suicidal
• Baby blues- less severe and in first week PN

Question 8

Perimortum CS

Answer 8

• Start by 4 min of cardiac arrest and complete by 5min

Question 9

Minimum equipment for perimortum CS

Answer 9

• Scalpel and 2 clamps for cord

Question 10

Chances of going back to breech after ECV

Answer 10

3%

Question 11

Chances of spont breech to cpehalic

Answer 11

• 8% at term
• 3-7% if failed ECV