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Flashcards in Pregnancy Deck (21):
1

What should be avoided in pregnancy?

- Smoking
- Alcohol
- Vitamin A
- Mould ripened cheeses, raw egg
- No more than 2 cup coffee a day/4 cup tea
- Avoid raw meats

2

What should be taken in pregnancy?

- 10mcg vit D daily
- 400mcg folic acid
- 5mg folic acid if certain medicines

3

What can be suggested for morning sickness?
When would you refer?

- Ginger biscuit
- Food before rising e.g toast
- Small amounts of water regularly
- Small carb rich snacks throughout day
- Avoid triggers e.g foods, smells

REFER:
- Dark urination (dehydration)
- Abdo pain
- Fever
- Weakness/faint
- Blood in vomit
- Uncontrollable vomiting
- Cant keep fluids or foods down for 24hr period (dehydration)

4

What type of pain may pregnant women experience?
When would you refer?

- Headaches
- Backpain (strain on muscles)
- Leg/foot ache

- Unbearable pain
- If headache could be preeclampsia (check had BP and urine tests at antinatal clinic)

5

What would you suggest for pain management in pregnancy?
LIFESTYLE

- Paracetamol
- AVOID NSAIDS AND ASPIRIN

- Do not sit or stand for too long
- Rest when painful and put feet up
- Wear flat shoes
- Stretch tight muscles
- Have warm baths
- Massage

6

Why might heartburn occur in pregnancy?
How can it be treated?
AVOID?

- Inc in pressure on stomach
- Posture
- Food content

- LIFESTYLE:
- Small freq meals, avoid trigger foods (spicy, fatty)
- Do not eat immediately before bed
- Stop smoking if applicable

- SIMPLE ANTACIDS/ALGINATES
- Rennies
- Gaviscon

AVOID PPI OR H2 ANTAG

7

When might you refer heartburn in pregnancy?

- Unresponsive to treatment
- Unable to eat due to symptoms
- Alarm symtoms
- Blood in stools, excessive vomiting
- Has IBS, history of peptic ulcers etc...

8

Why might constipation occur in pregnancy?

- Reduced activity
- Reduced GI motility
- Taking supplements? IRON OR AL

9

What can be suggested for constipation in pregnancy?

- Lifestyle:
- Increase water consumption
- Fibre in diet
- Light exercise
- Do not resist urge to pass stool

-Laxatives:
- Bulk forming
- Osmotic
(safe as not absorbed)

10

When should you refer constipation in pregnancy?

- If lifestyle and laxatives suggested fail to work
- Blood in stools

11

Why are haemorrhoids common in preg?

- How do you treat them
- Lifestyle?

- Inc pressure on stomach

- ENSURE PREVIOUS DIAGNOSIS

- Anusol cream
- AVOID HYDROCORTISONE PREPS

- Do not resist urge to pass stool
- Ensure adequate fluid intake
- Ensure fibre in diet

12

What happens if a lady presents with curd like discharge and vaginal itching?

The discharge doesn't smell and is white rather than green/yellow

She is pregnant.

Lifestyle advice in the meantime may include?

- Inform that she may be experiencing thrush
- It is common in pregnancy due to increased oestrogen and sugar levels

- Due to the fact that she is pregnant, no OTC preparations can be recommended
- CLOTRIMAZOLE OTC CREAMS NOT LICENSED IN PREG
- Referral to GP is required to confirm diagnosis and to prescribe treatment

- Advise to avoid tight fitting clothing
- Cotton underwear to allow to breathe
- Avoid perfumed products

- INSERT PESSARIES SUGGESTED BY GP USING FINGER RATHER THAN APP

13

What should be suggested for a pregnant lady with leg cramps?

- They are common due to hormone and weight changes

- Lifestyle advice:
- Rest legs and put feet up
- Stretching exercises
- Massaging of muscle

DO NOT USE QUININE

14

A pregnant lady asks for advice on cough and cold treatments.

What should you suggest?

- AVOID decongestants and take care with combination preps
- AVOID opioid cough suppressants

- Suggest paracetamol for pain relief
- Menthol inhalers for congestion e.g vicks
- Demulcants e.g glycerol cough syrups to sooth

LIFESTYLE:
- Steam inhalations to decongest
- Warm foods/liquids e.g soup, honey and lemon drink
- Sweets to suck on to soothe throat

15

What should happen if a pregnant women comes into the pharmacy asking for threadworm treatment?

- Ask who the product is for
- If she says for the family then counsel
- Over 2 months can be treated CANT be used in pregnancy
- If asymptomatic, treat family and try to break cycle through hygiene measures
- If symptomatic then see GP for advice

16

Why is breastfeeding recommended?
- How long for

- Exclusive breastfeeding for first 6 months of life

- Bonding with baby
- Nutritionally complete
- Provides antibodies in colostrum (IgA)
- Prevents diarrhoea,
- Lower levels of sudden infant death syndrome
- Cost effective
- Burns calories for mother
- Less likely for mother to develop certain cancers, oesteoporosis
- Less likely for baby to develop diabetes, high blood pressure, obesity

17

Why might a women decide to bottle feed?

- Other people can feed baby
- Issues with breastfeeding (lack of milk production, baby not taking)
- Embarrassed
- Medical condition e.g HIV

18

What two types of infant milks are there?

- Whey based - birth to 12 months
- Similar to breast milk
- 60% whey 40% casein protein

- Casein based - birth to 12 months
- Hungrier babies, similar to cows milk
- 20% whey 80% casein protein

19

What happens when a child is starting to be weaned and was drinking Casein or Whey based infant milks?

- Follow on milk
- from 6-12months
- Weaning diet
- Nutritionally superior to cows milk
- Contains more iron than cows milk

20

What can a child drink after follow on milk from 1 year?

- Toddler milk
- Similar to cows milk in protein composition but fortified with minerals and vitamins

21

What should be done when making up infant formula?

- Sterilise bottles and teats
- Clean surfaces
- Follow instructions - boil and cool water
- Don't reheat feeds
- Don't leave feeding baby unattended