O+G Flashcards
(13 cards)
What are the PCOS Rotterdam Criteria
SHOP String of Pearls Hyperandrogenism Oligomenorrhoea Prolactin normal
What are the risk of maternal diabetes?
SMASH Shoulder dystocia Macrosomia Amniotic fluid excess Still birth Hypertension and neonatal hypoglycaemia
Polyhydramnios causes
DITCH Diabetes Idiopathic and infection Twins Congenital abnormalities Heart failure
Polyhydramnios risks
6 Ps Placental abruption Pretty unusual lie Premature labour Prolapse of cord PPH - post partum haemorrhage Perinatal mortality
Mechanism of labour and delivery
Every decent female I crown rules lovingly
Engagement in the transverse position
Descent into the pelvis
Flexion
Internal rotation as head hits pelvic floor
Extension of the head
Restitution (external rotation)
Lateral flexion of the head to deliver shoulders
Why do induce
4 P's of induction Post dates PROM Pre-eclampsia Plus diabetes
Antenatal examination of the abdomen
SALPINX SFH height/size Amniotic fluid Lie Presentation Inlet engagement Number of babies X marks the spot - doppler upper back or Pinard
Prevention - aspirin 75mg from 12/40
ECLAMP Existing hypertension Chronic kidney disease Lupus Antiphospholipid syndrome Maternal diabetes (exisiting, not gestational) Previous pregnancy with pre-eclampsia
Complications of pre-eclampsia
SHAME Stroke HELLP syndrome Abruption of placenta Multi-organ failure Eclampsia
SGA types
SWAN Starved small Wrong small Abnormal small Normal small
High risk pregnancy risk factors
SHITS; CRAP Smoking Hypertension and pre-eclampsia IUGR previously Twins Stillbirth previously
Cocaine
Renal disease
Antiphospholipid syndrome
PAPP-A levels low
STI consultation important extras
SEX
Screen for other STIs
Education - barrier contraception
Ex partner tracing/ explain about partner notification
Risk factors for ectopic pregnancy
PIPPA Previous ectopic IUD Pelvic inflammatory disease Pelvic or tubal surgery Assisted reproduction
