Flashcards in Medical Problems in Pregnancy Deck (59)
What happens to the risk of transmission of toxoplasmosis and CMV infections as pregnancy progresses?
What happens to the consequences of infection with toxoplasmosis and CMV as pregnancy progresses?
They become less severe
Parvovirus infection in pregnancy only causes foetal complications before what gestation?
Rubella infection in pregnancy only causes foetal complications before what gestation?
Herpes infection is most likely to cause foetal complications if primary infection takes place when?
Infection with toxoplasmosis, especially within the first 10 weeks of pregnancy, is most associated with what complication?
Is there an increased risk of miscarriage with varicella-zoster infection in pregnancy?
What is the most significant foetal complication of maternal parvovirus infection?
Maternal rubella infection in pregnancy causes the child to develop which type of hearing loss?
Hepatosplenomegaly is most likely to be a foetal feature of which TORCH infection in pregnancy?
Screening for which infections in pregnancy should be carried out after ultrasound detection of congenital anomalies and severe growth restriction?
Women who are known to be HIV positive undergo what monitoring in pregnancy?
Viral load and CD4 count at least once every trimester
A positive test for which type of antibody is diagnostic for recent infection with a TORCH organism?
What pattern of IgG serology would confirm the acute disease with a TORCH organism?
What investigations can be used to determine if there is foetal infection with a TORCH organism after the mother has tested positive?
Amniocentesis for PCR or culture
What investigation is required to screen for complications of TORCH organisms in foetuses with proven infection?
Serial ultrasound scans
In women with pre-existing HIV on anti-retroviral therapy, should this therapy be continued in pregnancy?
In women with pre-existing HIV not on anti-retroviral therapy, when should this be started in pregnancy?
By 24 weeks
How should pregnant women with HIV and a viral load of < 50 RNA copies/ml at 36 weeks gestation be delivered of their babies?
How should pregnant women with HIV and a viral load of > 50 RNA copies/ml at 36 weeks gestation be delivered of their babies?
Is breastfeeding advised in women with HIV?
What medication is used to suppress lactation post-natally in women with HIV?
Anti-virals can be used when in pregnancy for women with hepatitis B and a high viral load?
Is there any safe drug treatment for hepatitis C in pregnancy?
Does the mode of delivery affect the transmission of hepatitis?
Is breastfeeding advised for women with hepatitis?
What additional medication do babies born to hepatitis B positive mothers receive within 12 hours of delivery?
Hepatitis B vaccine and a dose of hepatitis B immunoglobulin
After a baby born to a hepatitis B positive mother has received the first dose of hepatitis B vaccine at delivery, when should the other doses be given?
At 1 and 6 months of age
How are women with a primary infection of herpes simplex in pregnancy treated?
Aciclovir from 36 weeks