obs and gyn Flashcards
(24 cards)
management of cord prolapse
push back in presenting part of fetus
minimal handling and keep cord warm and moist
patient on all fours
immediate caesarian
tocolytics- terbutaline
retrofilling of the bladder
what cancer does the COCP reduce your risk of
ovarian and endometrial
what cancer does the COCP increase your risk of
cervical and breast
sudden onset lower abdominal pain in woman following exercise
query ovarian torsion
investigations of choice for ovarian torsion
pelvic ultrasound first line
laparoscopy: definitive and therapeutic
management of gestational diabetes
if <7mmol/L: diet and exercise (then at metformin)
if > 7: insulin
vaginal discharge, post-coital bleeding and intermenstrual bleeding with normal smear
cervical ectropion
what does the progesterone in HRT increase your risk of
breast cancer
VTE
adverse effects of HRT
progesterone: breast cancer and VTE
oestrogen: endometrial cancer
stroke
ischaemic heart disease if > 10 years
management of placental abruption
fetus alive < 36 weeks: if distressed immediate c-section, if not: observe, steroids
fetus alive > 36 weeks: distress- immediate c-section, no distress deliver vaginally
management of a women in early stages of labour and baby is in breech
try external cephalic version first
then c-section or vaginally
treatment of chlamydia in pregnancy
azithromycin, erythromycin or amoxicillin
interpretation of the bishop score
< 5 = labour unlikely without induction
if < 6= vaginal prostaglandins or oral misoprostol, > 6= amniotomy and IV oxytocin infusion
> 8= spontaneous labour
main complication of induction of labour
uterine hyperstimulation
management of induction of labour
1: membrane sweep (not recognised as a method)
2: vaginal prostaglandin- number 1
then oral prostaglandin, maternal oxytocin infusion, amniotomy, cervical ripening balloon
management of pregnant woman with candidiasis
clotrimazole pessary
at what gestation does pregnancy related blood pressure problems start
20 weeks
management of low lying placenta at 20 week anomaly scan
repeat scan at 32 weeks
who requires routine antenatal antiD prophylaxis at 28 weeks
rhesus negative mothers who are not sensitised
management of pelvic organ prolapse
conservative: weight loss, pelvic floor muscle exercises
ring pessary
surgery
management of PPH and the women had gestational hypertension
oxytocin
contraindication for ergometrine
hypertension
hormone responsible for pain halfway between periods
LH
ovarian tumour with the presence of psammoma bodies, papillary architecture
serous cystadenocarcinoma
