Flashcards in Obsterics Miscellaneous Deck (26):
Effect of Factor V Leiden deficiency on expectant mother
Increases risk of VTE throughout life, compounds the normal increase in risk in puerperium.
Epilepsy in the pregnant
Increased f of episodes during pregnancy
What pre existing maternal condition has increased risk of fetal macrosomia if condition not well controlled?
What condition can cause maternal muscle fatigue in labour?
What pre existing maternal condition requires prophylactic Abx for instrumental delivery?
Congenital heart valve problems due to infection risk
In describing twin pregnancies, how are they described?
Twins count as one pregnancy but two live births.
A woman currently pregnant who has had a previous term delivery.
A woman not currently pregnant who has had one previous termination , one early miscarriage and one still birth at 36/40.
A woman who attends for pre conception counselling, never having been pregnant.
A woman currently pregnant with twins who has had one previous early miscarriage.
A woman not currently pregnant who previously had a twin delivery at 28/40.
Prolactin in pregnancy
Levels 15x higher in third trimester than in non pregnant state. Produced by ant pituitary gland and is essential for milk production.
Prostaglandins in pregnancy
Induces the process of cervical remodelling
Local collagenase in pregnancy
Aids in cervical softening
What regulates local uterine blood flow through endothelial effects in pregnancy
Triple test consists of
Bhcg, alpha-fetoprotein, oestriol
Oxytocin and ADH are released from?
Post pituitary gland
Antenatal care FBE taken at
At booking and 28/40
Screening test for pre-eclampsia
BP measurement and proteinuria
Fetal anomaly scan is scheduled for
In a normal pregnancy when is a membrane sweep offered?
At 41/40 to avoid induction in post- date pregnancy
Anti-D prophylaxis given
At 28/40 & 34/40
Effect of smoking during pregnancy...
Reduces intrauterine growth in a dose-dependant manner.
Ideal dating of pregnancy
US wk 10-14 using crown rump length.
14/40-20/40 US dating parameter?