Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
51 Cards in this Set
- Front
- Back
How long should lochia be red |
3 days, after which it should go yellow then white Important to know as you need to identify secondary PPH |
|
Anaemia in pregnancy is Hb< |
Hb<11 |
|
Which group of anaemic people must you not give iron INFUSION to |
Thalassemia They have high iron levels |
|
How long do you give ABx for mastitis |
At least 10 days |
|
A hydrops baby causes what risk top the mother |
Severe pre-eclampsia! |
|
Without intervention, what percentage of babies get HIV from mum |
15% |
|
If HIV positive mum is on cotrimoxazole prophylaxis, what should you also give her in the beginning of pregnancy |
5mg folic acid |
|
If mum found to have HIV, which vaccinations are safe in pregnancy |
Hep.B Pneumococcal Influenza |
|
What drug can you give within 24h of birth in HIV+ve mother to suppress lactation |
Cabergoline! |
|
When are babies tested for HIV |
Day 1 6w 12w 18months |
|
How do you treat true hyperthyroidism in pregnancy |
Propylthiouracil |
|
What endocrine issue increases risk of craniosynostosis |
Hyperthyroidism |
|
If hypothyroid, what must you do in pregnancy |
Increase levothyroxine by 30% |
|
It's normal to be hyper or hypo- thyroid after giving birth? |
Hypo (you were hyper during pregnancy) Check it's not causing PPDepression |
|
Itchy palms and soles in pregnancy |
Intrahepatic cholestasis of pregnancy But need to exclude viral hepatitis ESPECIALLY HEPATITIS E!!!!!
Only 25% have increased bilirubin! |
|
Treatment of Intrahepatic cholestasis of pregnancy |
Vitamin K Ursodeoxycholic acid Will resolve within days of delivery |
|
If mum has Hep C, when will you do vaginal and when c section |
C section if coexistent HIV |
|
If mum had HCV, what do you check baby for and when |
HCV RNA at 2-3 months (And 12 months) (And anti-HCV at 18 months) |
|
If bacteruria treated in pregnancy, when must you test for cure |
At 1 week and 2 weeks post-treatment |
|
If pyelonephritis in pregnancy, how often must you test MSUs |
Every fortnight for the rest of the pregnancy |
|
Enzyme inducers in pregnancy (e.g. anti-epileptics) can cause... Therefore you must give her... From 36 weeks |
Haemorrhagic disease of the newborn Vitamin K from 36 weeks |
|
Even if epileptic mum on no meds, what is baby more at risk of getting as a malformation |
Cleft lip |
|
What SLE drugs can you have in pregnancy |
Azathioprine Hydroxychloroquinolone |
|
What extra drug would mothers with SLE have prior to conception and THROUGHOUT pregnancy |
Aspirin! |
|
How do you diagnose antiphospholipid syndrome |
2 tests taken >8w apart Lupus anticoagulant Anticardiolipin antibodies |
|
Treatment of antiphospholipid syndrome |
Aspirin daily FROM CONCEPTION (unlike HTN in pregnancy when you give it from 12 weeks)
LMWH from 6 weeks (when foetal heart identified) til 34 weeks And then again postpartum for 6 weeks I think |
|
What BP warrants admission in pregnancy |
160/110 or more |
|
What's wrong with V/Q scan on pregnancy |
Increases risk of childhood cancer! |
|
What's wrong with CTPA in pregnancy |
Increased risk of maternal breast cancer Increased risk of neonatal hypothyroidism due to contrast medium |
|
You classically do the day 21 progesterone to see if someone's ovulated, but what day should it really be on |
7 days prior to next period I.e. 7 days after ovulation (Follicular phase can be variable in length but the luteal phase is always 14 days) And you want it to be >30 |
|
Which methods of contraception need condoms for the first SEVEN days |
COCP IUS! Implant Depot |
|
Over what number is proteinuria high enough to be pre-eclampsia (g/24h) |
>0.3g/24h |
|
What does serum hCG need to be for you to do expectant management for ectopic pregnancy |
<200 |
|
What does serum hCG need to be for you to do surgical management for ectopic pregnancy rather than medical management |
>1500 |
|
What does the size of the pregnancy need to be for you to do medical management for ectopic pregnancy rather than surgical |
<35mm (Could also do expectant management if hCG low |
|
What do you do if ectopic pregnancy, <35mm, <1500 hCG, no foetal heartbeat, painful |
Surgical management because of the pain! |
|
When is parvovirus infective When is it worse to get it if pregnant |
Parvovirus B19 is infectious from up to 3 weeks before the rash develops. It is no longer infectious once the rash appears. The risk of transmission increases with gestational age. |
|
How can we reduce CMV in pregnancy |
Reduce exposure to toddler's urine |
|
Does reactivation or new infection of CMV in pregnancy hurt the baby |
New infection does |
|
What do you give if toxoplasmosis in pregnancy with non-affected foetus |
Spiramycin |
|
What do you give if toxoplasmosis in pregnancy with AFFECTED foetus (shown by amniocentesis results) |
Pyrimethamine and sulfadiazine and calcium folinate |
|
Ovarian pain tends to be felt in... |
The iliac fossa, radiating down the front of the thigh to the knee! |
|
When should you investigate primary amenorrhea |
If 15 Or 14 and no breast development |
|
What is primary dysmenorrhoea How can you treat it? |
Pain without pathology Mefanamic acid (an NSAID) COCP |
|
What would you expect FSH to be in premature menopause |
>20 |
|
What can cause hyperprolactinaemia |
Stress Hypothyroidism Prolactinomas drugs (phenothiazine antipsychotics, domperidone, metoclopramide) |
|
How do you treat HPA malfunction |
Clomifene if mild Gonadotrophin-releasing hormone if totally shut down |
|
How can you tell if HPA axis dysfunction is mild |
Endometrium will be shed after a progesterone challenge |
|
What types of cancer are people with PCOS at risk of |
Ovarian and endometrial |
|
What are the risks of clomifene |
Multiple pregnancy Ovarian cancer Ovarian hyperstimulation |
|
Why are women with PCOS on spirinolactone or finasteride. What do you need to warn them about |
Hirsutism They're both teratogenic |