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Flashcards in OBS Deck (28):
1

asymptomatic bacteruria management

amoxicillin 250mg TDS for 3 days

2

reflux medical management

gaviscon, h2 recptor

3

triad of hyperemesis gravidum

>5% wt loss, dehydration, electrolyte disturbance

4

investigations for hyperemesis gravidum

U&Es, LFTs, MSU, USS

5

management of hyperemesis

ABCDE
NaCl + K+
antiemetic - cyclizine
thiamine
consdier VTE prophylaxis
correct electrolyte imbalance

6

investigations in IUGR

USS
doppler
CTG
maybe manio for foetal karyotype or infection

7

when to scan if SGA risk factor

serial growth scans and doppler from 26-28 weeks

8

MCMA division day

9-13

9

MCDA division day

4-8

10

DCDA division day

11

what week should uterus become palpable

12 weeks

12

when to have dating scan

8-14 weeks

13

what does the lambda sign suggest

DC twins

14

twin to twin transfusion syndrome what happens to each twin

donor twin: anaemia, IUGR, oligohydraminos,
recipient twin: volume overload, polycythema, cardiac failure, polyhydraminos

15

what is quintero staging

TTTS

16

management of TTTS

laser ablation of placental anatstomoses <26 weeks
indomethicin to reduce urine output
selective foetal reduction

17

when to deliver twins

MC - 36-38w
DC - 37-38w

18

When to give aspirin 75mg from 12w

if one of:
- HTN in prev preg
- CKD
- Autoimmune
- DM
- chronic HTN
- thrombophilia

if >1 one:
- multiple pregnancy
- >40yrs
- BMI >35 at booking
- preg interval >10yrs
- nulliparuty
- FHx

19

management of mild preeclampsia

admit
BP 4x/day
bloods 2x/week

20

management of mod or severe pre-eclampsia

admit
PO labetalol
BP 4x/day
bloods 3x/week

21

blodds for pre-eclampsia

U%Es, LFTs (transaminases and bilirubin) FBC

22

what is the tenessee classification diagmostic criteria for hellp

LDH >600 + haemolysis
AST >70
platelets<100

23

what platelet levels do you need for a section or vaginal birth

>80 for section
>50 for vaginal birth

24

when to deliveryb dm baby

37-39w

25

GDM risk factors

BMI >30
previous baby >4.5
previous GDM
fhx of DM
ethnic origin

26

when to do gtt

24-28 weeks

27

when to diagnose gdm

fasting glucose >5.6
gtt >7.8

28

foetal monitoruing in gdm

every 4 w from 28-36 w uss