(Transferred) Obstetrics Flashcards Preview

2015 - Current Deck > (Transferred) Obstetrics > Flashcards

Flashcards in (Transferred) Obstetrics Deck (75):
1

Antenatal screening tests

1) Rhesus group (for hemolytic anaemia due to rhesus isoimmunisation; maternal Rh -ve but paternal Rh +ve)

2) HIV Ab (for HIV carrier)

3) VDRL (for syphilis)

4) Group B Streptococcus

5) Hepatitis B (for Hep B carrier)

6) Rubella Ab (for rubella immune state)

7) Urine protein, BP (for pre-eclampsia)

8) Hb (for anaemia)

9) MCV (for thalassemia)

10) Down's Syndrome 

11) US examination in 18-22 weeks for fetal morphology (detects up to 75% of major congenital malformations)

2

Managing anaemic pregnant ladies

Folic acid supplements

3

risk factors for adverse pregnancy outcome 

Maternal factors
- pre-existing medical diseases (DM, thyroid, hypertension, renal, SLE, heart disease etc)
- pregnancy complications
- operative risks
- psycho social issues

Fetal growth problems 
- Growth, anomaly
- infection
- trauma

4

Third stage Labour complications

1) Primary postpartum haemorrhage

2) Retained placenta

3) Perineal tear 

5

Intervention in early labour

1) Fluid replacement, Antibiotics, Analgesics

2) Labour augmentation
- artificial rupture of membranes (surgical)
- syntocinon (medical)
- episiotomy

3) Operative delivery
vacuum extraction
- forceps delivery
- Caesarean delivery 

6

Intrapartum pain relief

- Breathing exercise, birth ball

- Opioid

- Epidural analgesia

- Transcutaneous Electrical Nerve Stimulator 

7

management of third stage labour

1) Placenta expulsion
- syntocinon 
- Prompt delivery of placenta when separated from uterus

2) Primary postpartum haemorrhage
- syntocinon 
- surgery 

8

Causes of shock in pregnancy

1) Hypovolemic shock, from bleeding

2) Vasovagal, from distension of cervix 

9

Wernicke’s encephalopathy 

Triad = "CAO"
- Confusion
- Ataxia
- Ophthalmoplegia

Due to exhaustion of vit B1 reserves in particular thiamine 

10