Numbers 6 Flashcards
1
Q
Prevalence epilepsy in pregnancy
A
0.5-1%
2
Q
% seizure free in pregnancy
A
74-92%
3
Q
Risk of SGA/FGR increases by how much with AEDs
A
3.5x higher
4
Q
Contraception safe with AEDs
A
Copper, LNG-IUS, MPA injections
5
Q
Lamotrigine can reduce oestrogen containing contraception levels by
A
25-70%
6
Q
% headaches that are primary
A
10%
7
Q
% headache after accidental dural puncture
A
70-80%
8
Q
Cure rate of blood patch for epidural headache
A
60-90%
9
Q
Migraine increases risks by:
PET
MI
Stroke
A
2 fold
4 fold
17 fold
10
Q
Incidence of cerebral venous thrombosis
A
1:2500-10,000
11
Q
Incidence Idiopathic intracranial hypertension
A
1: 100,000
19: 100,00 obese
12
Q
Baseline HR and BP in SCI
A
40-50bpm
BP 80/50mmHg
13
Q
% worsening spasticity in SCI
A
12%
14
Q
Level SCI contractions felt
A
T10
15
Q
Level SCI cervical dilatation felt
A
T11-12
16
Q
Level SCI feel perineal/vaginal sensation
A
L2-L4
17
Q
% haemorrhagic strokes in pregnancy
A
40-50%
ICH
18
Q
% abnormal thymus in MG
A
15%
19
Q
% Neonatal MG
A
9-20%
20
Q
% women with carpal tunnel syndrome
A
25%
21
Q
UK vertical transmission rate of HIV
A
- 2%
0. 8% if ARV
22
Q
UK incidence HIV
A
2:1000
23
Q
Risk HIV transmission if HIV on HAART
A
<2%
24
Q
% pregnant women immune to to parvovirus
A
50%
25
Hep B incidence UK
1:1000
26
Hep C transmission to babe
1:20 births
27
Maternal mortality of Eisenmenger
20-40%
28
Risk of rupture if aortic root >4cm
10%
| 1% if <4cm
29
IHD accounts for how many cardiac deaths?
1/3
30
% peripartum cardiomyopathy associated with HTN
25%
31
% MI immediately postpartum
50%
32
% POTs who feel better during pregnancy
60%
33
% POTs who are worse during pregnancy
20-30%
34
% severe vomiting and hyperemesis in 1st trimester POTs
50-60%
35
left anterior descending coronary artery accounts for % of coronary artery dissection
80%
36
Mortality of coronary artery dissection
30-40%
37
How long to delay delivery by if MI
2-3 weeks
38
PEFR in acute severe asthma
33-50%
39
% varicella pneumonia affects pregnant women
10%
40
ARDS mortality
25%
41
% who deteriorate with severe asthma
60%
42
% asymptomatic bacteriuria develops urinary sepsis if untreated
40%
43
% urinary sepsis that have relapse bacteriuria
30%
44
% of pyelonephritis that have bacteraemia
15-20%
45
% pyelonephritis recurrence
20%
46
% good outcome in mild/mod renal disease (creat <250)
90-96%
47
% good outcome in severe renal disease (creat >250)
51%
48
% pregnancies going beyond 1st trimester in renal allografts
70%
49
% postpartum pemphigoid flare
75%
50
% acute fatty liver recurrence
25%
51
% hypogonadotrophic hypogonadism in beta thalassaemia
66%
52
Incidence vasa praevia in IVF
1: 300
1: 6000 BG
53
Placenta praevia rate increases in IVF by...
3 fold
54
% twins delivered <28/40 if CL at 20/40 is 22mm
25%
55
POTs has persistent increase in HR by
30bpm
56
Risk of cleft clip with high dose steroids in first trimester
0.3%
57
Incidence of acute fatty liver of pregnancy
1:7000-15,000
58
AFLP recurrence
25%
59
HELLP recurrence
19-27%
60
Hepatic adenoma - lifetime risk of haemorrhage
27%
| 50% mortality
61
Hepatic adenoma - lifetime risk of rupture
17%
62
CLD and splenic artery aneurysm rupture rate
20%
70% in 3rd trimester
70% mortality rate
63
Liver transplant live birth rate
77-91%
| Wait 1 year before conception
64
% liver transplant graft loss in first 2 years after pregnancy
11%
65
How many women with gallstones in pregnancy develop acute cholecystitis?
33%
66
Incidence SLE
1:1000
67
Risk early onset PET in lupus + eGFR <90, raised BP and proteinuria at booking
28%
| vs 16% just SLE
68
Lupus nephritis and risk of PTB
30-40%
69
Lupus nephritis and risk of FGR/SGA
16%
70
Incidence of lupus flares in pregnancy
13-65%
71
% SSA/Ro and SSB/la antibodies in Sjogren's
70-80%
72
% rash in neonatal lupus
10-25%
73
Congenital heart block in lupus
2%
74
Congenital heart block in lupus + previous affected child
16-18%
75
Incidence RA
1:2000
76
Incidence PGP
16-25%
| 1:36-300
77
Recurrence PGP
65-85%
78
% psychiatric disease in pregnancy
| and how many severely affected?
20%
| 3-5% severely affected
79
PN blues
50-80%
80
PND
13%
| 50% develop antenatally
81
Antenatal depression
11%
82
Depression relapse
40%
83
% women who have depression up to 1 yr postnatally
30%
84
Severe PND
3%
85
Risk of PND if major depression Hx and FHx
42% (15% without FHx)
86
Recurrence PND
1:2-3 pregnancies
87
% of bipolar that have postpartum pyschosis
20-30%
88
Postpartum pyschosis
1-2:1000
89
Risk of suicide in postpartum pyschosis
2:100
90
% bipolar that have PP psychosis if previous psychosis
50%
91
% bipolar that have PP psychosis if FHx
74%
92
% women with postpartum psychosis who have delusional ideas about babe
74%
93
Number of women who died by suicide and had previous psychiatric history
2/3
94
Number of women who died by suicide and had previous bipolar disorder or psychosis
1/3
95
% women with eating disorders who have difficulties bonding with babe
90%
96
% women who conceive after myomectomy assuming no other fertility factors
67%
97
Risk of uterine rupture during pregnancy after laparoscopic myomectomy
1.2-6.8%
98
% ectopic beats and non-sustained arrythmia in palpitations in pregnancy
50%
99
Incidence of shoulder dystocia
0.5-0.7%
100
Incidence of PPH with shoulder dystocia
11%
101
Incidence of 3rd/4th degree tear with shoulder dystocia
3.8%
102
Incidence of brachial plexus injury with shoulder dystocia
2.3-16%
103
Recurrence shoulder dystocia
1-25%
104
All fours position success for shoulder dystocia
80%
105
Incidence of cord prolapse
0.1-0.6%
106
Incidence of cord prolapse in breech
1%
107
Delayed cord clamping gives how much extra blood to babe?
80-100ml
108
% of abruptions in low risk pregnancies
70%
109
Recurrence with 1 previous abruption
4%
110
Placenta praevia OR with 1 previous CS
2.2
111
Placenta praevia OR with 2 previous CS
4.1
112
Placenta praevia OR with 3 previous CS
22.4
