obs + gyn Flashcards
(18 cards)
management of placental abruption if fetus alive + <36wks
fetal distress = immediate caesarean
no fetal distress = observe closely, steroids, no tocolysis, threshold to deliver depends on gestation
management of placental abruption if fetus alive + >36wks
fetal distress = immediate caesarean
no fetal distress = deliver vaginally
HELLP
Haemolysis, Elevated Liver enzymes, Low Platelet
px = N+V, RUQ pain, lethargy
can develop from pre-eclampsia but also its own thing
management of breech
> 36 wks - will turn spontaneously
still at 36wks - external cephalic version
- 37wks in multiparous
absolute contraindications to external cephalic version
- where csection is required
- antepartum haemorrhage within last 7days
- abnormal CTG
- major uterine anomaly
- ruptured membranes
- multiple pregnancy
who gets screened for DDH
US scan !
- 1st degree fam hx of hip probs in early life
- breech presentation >=36wks, irrespective of presentation or mode of birth
hx of sudden collapse occuring soon after a rupture of membranes, unconscious, low BP
amniotic fluid embolism !!
clinical diagnosis
the implant MoA
inhibits ovulation
anaemia cut offs in pregnancy
1st trim = <110
2/3rd trim = <105
postpartum <100
if less, start on ORAL ferrous sulfate, continue for 3months after corrected (to allow stores to replenish)
management of infertility in PCOS
clomifene
what gestation would you refer for lack if fetal movementss
24weexs
- if not been felt yet
can generaally feel move from 18-20w
no cardiac activity and a crown-rump length of what indicates a miscarriage
> 7mm
(<7, might be too smalll to detect cardiac activity)
whats in the combined test? when is it done?
nuchal translucency (thic)
serum B-HCG (raised)
PAPP-A (low)
11-13+6wcs
if smear inadequate, when repeat
3 months
what to monitor when giving magnesium sulphate
reflexes + resp rate
where is implant put
sub dermal, non-dominant arm
mx of endometriosis for women trying to conceive
laparoscopic excision or ablation of endometriosis + adhesiolysis
requirements for lactational amenorrhoea to be a reliable method of contraception
amenorrhoeic
baby 6months
exclusively breastfeeding
