Prematurity
Figure 5.1 Pathological triggers of preterm birth. Infection plays a role in ~30–40% of spontaneous preterm births. The commonest route of infection is the ascent of pathogens, through the cervix,…
GYNECOLOGY
Antepartum haemorrhage
Placental abruptionPlacenta praeviaVasa praeviaMarginal bleedUterine rupture Cervical bleeding ectropion cervicitis polyp neoplasm Vaginal bleeding trauma neoplasm GI bleeding haemorrhoids inflammatory bowel Urinary tract infection There are no consistent classifications for…
Screening for fetal anomalies
html xmlns=”http://www.w3.org/1999/xhtml” xmlns:mml=”http://www.w3.org/1998/Math/MathML” xmlns:epub=”http://www.idpf.org/2007/ops”> 12 Screening for fetal anomalies Dilly Anumba Antenatal Disorders for the MRCOG and Beyond, Second Edition, ed. Dilly Anumba and Shehnaaz Jivraj. Published by Cambridge University…
Drug and alcohol misuse in pregnancy
LegalLiquidCentral nervous system depressantDisinhibition may lead to aggression or risk-taking behaviour, toxicity, loss of consciousness and deathLong-term liver, brain, heart, stomach damage and obesityOral liquidCannabisClass B*ResinBudsSyntheticOilRelaxant, mild intoxicantSleepiness and heightened…
Maternal mental health disorders
Neonatal withdrawal syndromeCognitive/neurobehavioural problemsBreastfeeding risksUnstable mental state/riskStress on fetusPoor obstetric outcomeLow birth weightIntrauterine growth restrictionPoor mother–infant bonding Severe depression warrants a combination of antidepressant plus CBT and referral to a…
Alloimmunization in pregnancy
Figure 9.1 Measurement of middle cerebral artery peak systolic velocity. This is an ultrasound image of the fetal head, taken in transverse section at the level of the base of…
Cardiac disease in pregnancy
html xmlns=”http://www.w3.org/1999/xhtml” xmlns:mml=”http://www.w3.org/1998/Math/MathML” xmlns:epub=”http://www.idpf.org/2007/ops”> 8 Cardiac disease in pregnancy Chibuike Iruloh Antenatal Disorders for the MRCOG and Beyond, Second Edition, ed. Dilly Anumba and Shehnaaz Jivraj. Published by Cambridge University…
Previous caesarean section
Laboured spontaneously in the pastPre-eclampsiaFetal macrosomiaIndicationDilatation at which it took placeOperative notes – any extensions or incisions such as J or TInter-pregnancy intervalGestation at which caesarean section took placePlacenta praevia…
Multiple pregnancy
html xmlns=”http://www.w3.org/1999/xhtml” xmlns:mml=”http://www.w3.org/1998/Math/MathML” xmlns:epub=”http://www.idpf.org/2007/ops”> 3 Multiple pregnancy Chibuike Iruloh Antenatal Disorders for the MRCOG and Beyond, Second Edition, ed. Dilly Anumba and Shehnaaz Jivraj. Published by Cambridge University Press. ©…
Hypertensive disorders in pregnancy
Intravenous: bolus dose 50 mg given slowly followed by continuous infusion up to 160 mg/hBradycardiaBronchospasmScalp tinglingAsthmaPhaeochromocytomaNifedipineCalcium channel antagonistOral:10 mg bd to 20 mg qdsHeadacheFlushingTachycardiaOedemaLethargyAortic stenosisLiver diseaseAvoid before 20 weeks gestation (NICE 2010)1MethyldopaCentral actionOral: 250 mg…
