Obstetrics Flashcards
(46 cards)
1
Q
Preterm labour
A
.
2
Q
P-PROM
A
.
3
Q
PROM
A
.
4
Q
Shoulder dystocia
A
.
5
Q
Breech
A
.
6
Q
Unstable lie
A
.
7
Q
Induction of labour
A
.
8
Q
VBAC
A
.
9
Q
Umbilical cord prolapse
A
.
10
Q
Uterine rupture
A
.
11
Q
Post-partum haemorrhage
A
.
12
Q
Pre-existing chronic hypertension
A
.
13
Q
Pre-existing Diabetes
A
.
14
Q
Pre-existing Thyroid disease
A
.
15
Q
Pre-existing Asthma
A
.
16
Q
Pre-existing Heart disease
A
.
17
Q
Pre-existing Epilepsy
A
.
18
Q
Gestational HTN
A
.
19
Q
Pre-eclampsia
A
.
20
Q
Eclampsia
A
.
21
Q
Gestational diabetes
A
.
22
Q
Anaemia
A
.
23
Q
Obstetric cholestasis
A
.
24
Q
Acute fatty liver of pregnancy
A
.
25
IUGR - Foetal growth restriction
.
26
Placenta praevia
.
27
Placental abruption
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28
Amniotic fluid embolism
.
29
Multiple pregnancy
Risks of twins:
Anaemia (Screen FBC)
10-15% TTTS (in Monochorionic)
6 in 10 born before 37wks (Preterm birth)
25% Selective IUGR
3-5% Acute TTTS in labour (may need C-section)
Congenital malformations (screening needed)
MCDA = Highest risk for TTTS
Happens to twins who share a placenta (Monochorionic).
Caused by problem with the blood vessels from the placenta. There is imbalance in blood flow from 1 twin to the other, leaving 1 baby with more blood.
Advise to report any changes in abdo size or SOB
Obstetric-led antenatal care rather than midwife
1. FBC at 20wks - ?extra iron + folate
Down syndrome screening
2. Multiple pregnancy = moderate RF for pre-eclampsia. If 1st pregnancy or BMI >35 or FMH of pre-eclampsia, start ASPIRIN 75mg daily from 12wks until birth
3. Routine anomaly scan at 18-20wks
2. Serial growth/Doppler USS scans, monitor IUGR and TTTS
DCDA = every 4wks from 20wk GA
MCDA = every 2wks from 16wk GA
If MCMA (or other cases where amnion is shared) refer to Fetal Medicine.
Also refer if any foetal anomalies or >25% discordant growth
Delivery:
Mode = DCDA/MCDA can do vaginal if 1st twin cephalic
If any problems, C-section
Small risk that 2nd twin requires C-section
MCMA and triplets = Elective C-section
```
Timing:
DCDA = 37
MCDA = 36 (+steroids)
MCMA = 32 (+steroids)
Continuing an uncomplicated pregnancy beyond these points is associated with increased risk of foetal death
```
30
Baby blues
.
31
Postnatal depression
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32
UTI
.
33
Syphilis
.
34
Toxoplasmosis
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35
CMV
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36
Chickenpox
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37
Parvovirus B19
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38
Listeria
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39
HSV (Herpes Simplex Virus)
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40
Group B Strep
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41
HIV
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42
Hepatitis B
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43
Hepatitis C
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44
Sepsis
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45
N+V / Hyperemesis gravidarum
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46
Molar pregnancy
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