Obstetrics 1 Flashcards
(27 cards)
Prevention of pre-eclampsia
Low dose aspirin (esp with previous severe pre-eclampsia)
Pre-eclampsia treatment
1 line: labetalol
2 line: methyldopa, nifedipine
Hypertension treatment (pre-eclampsia) in asthma patients
Hydralazine
When is treatment with magnesium sulphate?
Before delivery and 24 h after
DD of pre-eclampsia with chronic hypertension, gestational hypertension and epilepsy
They don’t have proteinuria
Neurological symptoms of pre-eclampsia
Hyperflexia and frontal headache
Liver symptoms of pre-eclampsia
Epigastric pain
Symptoms preceding eclamptic seizures
Visual disturbances, altered mental status
Pre-eclampsia definition
Hypertension (140/90) with evidence of end organ dysfunction
Test for pre-eclampsia
Urinary protein,
liver function tests,
Thrombocytopenia
Delivery method with pre-eclampsia after 34 weeks
Vaginal delivery
For how long fits can happen after pregnancy
48 h and even up to 6 weeks
Most common reason for primary postpartum hemorrhage
Uterine atonicity
Uterotonics for primary postpartum haemorrhage
Oxytocin
Ergometrine
2nd line t-t for postpartum haemorrhage
Misoprostol
Prostaglandin
Timing of secondary postpartum haemorrhage
After 24h to 6 w
Investigation in sec postpartum haemorrhage
US
Cervical smear and culture
Postnatal period = puerperium
First 6 weeks
Heel prick test includes
Cystic fibrosis
Phenylketonuria
Congenital hypothyroidism
Galactosemia
Post partum GP consultation timeline
6 w
Contraception 21 days after childbirth
Progestogen only
(Norethisterone / levonorgestrel)
Endometritis symptoms
Offensive lochia!!!
Fever
Tender uterus
Number 1 cause of maternal death
Postpartum haemorrhage
Puerperal fever timeline
First 2 weeks
