large and small births Flashcards

1
Q

What is Large For Dates?

A

Symphyseal-fundal height >2cm for Gestational age

distance of pubic bone to top of womb

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2
Q

Fetal Macrosomia diagnosis

A

USS EFW >90th centile, - foetal growth scan

AC>97TH Centile- fetal abdominal circumference

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3
Q

how accurate is USS EFW

A

10% margin error

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4
Q

Polyhydramnios: Diagnosis

A

USS
DPV>8cm
deepest vertical amniotic fluid pocket

AFI>25

amniotic fluid index

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5
Q

Polyhydramnios: Investigations

A

oral glucose tolerance test
viral serology- parovirus
antibody screen
USS

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6
Q

Polyhydramnios: Management

A

Patient information- complications including preterm rupture of membranes
Serial USS- growth, LV, presentation
IOL by 40 weeks

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7
Q
A
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