O&G Revision Session Flashcards
(38 cards)
Labetolol
Two reasons why wouldn’t give labetolol to patients with pre-eclampsia? [2]
Allergic
Asthma
Afro-Carribbean
Abruption
How do you distinguish abruption from rupture? [1]
Easy to palpate fetal parts in rupture
Fetal growth restriction
Maternal hypoglycaemia
Polyhydramnios
Fetal defects
Pre-eclampsia
Polyhydramnios
- baby urinates more
Why can GD lead to fetal growth restriction? [1] (even though mainly causes macrosoma)
If hypogyclaemic - blood vessels become damaged.
- Can damage the placental BV and get fetal growth restriction
Question 5 - Regarding MCDA, which of the following is true?
They should be delivered by CS
They should be delivered by 37 weeks
The risk of growth restriction is 10%
They can have cord entanglement
The ultrasound diagnosis of chorionicity is based on the lambda sign
They should be delivered by 37 weeks
What sign is shown for DCDA? [1]
Lambda sign
When should DCDA twins be delivered? [1]
38 weeks
Which type of twins have highest risk of cord entanglement? [1]
Cord entanglement
When should MCMA twins be delivered? [1]
35 weeks
When should triplets be delivered by? [1]
A 40 year old patient who has had a previous C section has a baby at 38 weeks. Which of the following would be best to initiate IOL?
Dinoprostone pessary
Dinoprostone gel
Misoprostol tablets
Osmotic cervical dilators
The choice of priming agents depends on maternal choice and pain tolerance
Osmotic cervical dilators
Hormonal ways of induction of labour increase risk of uterine rupture by 4x.
- Use osmotic cervical dilators in patients at risk of uterine rupture - mechanical
IOL mimics physiological processes and typically consists of which three steps? [3]
Question 7 - What is the best management plan?
Expectant management
Immediate induction
Induction after 24 hours
Induction at 37 weeks
Further management should be dictated by parental preferences
If no GBS - you would wait till 37 weeks
But because of GBS: immediate induction is better
- if ever had GBS in current pregnancy and they have PPROM - then induce
PPROM - deliver at 37 weeks and 10 days of erythomycin ???
Question 8 - Which of the following is the best management?
Reassure
Arrange CTG
Arrange a review in triage for speculum
Arrange an ultrasound scan in 2 weeks
Arrange an urgent review in Fetal Medicine
Arrange an urgent review in Fetal Medicine
- ID with transabdominal US for evidence of brain problem, skeletal problem, muscular problem
Change position and IV fluids
Terbutaline IM
Artificial rupture of membranes
Category 1 CS
Category 2 CS
Change position and IV fluids
Terbutaline IM
Artificial rupture of membranes
Category 1 CS
Category 2 CS
Cat 1
Retained products of conception
Urinary tract infection
Chorioamnionitis
Wound infection
Pelvic thromboflebitis
Retained products of conception
US
