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15 Cards in this Set
- Front
- Back
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BV dx + tx + increases risk of
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dx: thin white dc on vag walls
amine odor ph > 4.5 clue cells tx: Metronidazole risks of PPROM, PTL, puerperal infxn |
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GBS
screen? fetal sx? tx? |
screen 35-37 weeks
fetal sx: respiratory distress, pneumo, MENINGITIS, sepsis tx: pen G in labor (or cefazolin or clinda) |
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Tx chorioamnionitis
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amp & gent or ceph
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Herpes simplex
-fetal sx -dx -tx |
-fetal: premature, IUGR, SAB, *neonatal death or CNS abnormalities*
-dx: viral culture -tx: acyclovir prophylaxis > 36 weeks delivery by c/s if active lesions or primary outbreak |
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VZV - when to give IVIG
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if mom has no hx of chicken pox and is exposed, give within 96 hrs
if mom gets chickenpox 5 days before or 2 days after delivery |
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Parvovirus B19
-effects on fetus -dx -tx/monitoring |
-hemolysis, decreased rbc, *hydrops fetalis*
-dx: IgM antibody screen of mom > 20 w -tx: monitor fetus with serial US and check middle cerebral velocity |
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CMV
effects in fetus and tx in neonate? preventing transmission? |
*cerebral calcifications, deafness, chorioretinitis*
jandice, HSN, thrombocytopenia, pneumonia, seizures, etc. -tx possibly ganciclovir *GOOD HAND WASHING* prevents transmission |
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Rubella
-sx in fetus -screening -tx? |
-sx: deafness, blueberry muffin baby, cardiovascular abnorm, cataracts, CNS problems/MR
- prenatal IgG screen serial IgM titers for infxn - no tx if acquired in pregnancy, more important to prevent with immuniz. DON'T immunize in pregnancy |
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HIV
-chance of in utero transmission -screening -tx in pregnancy -when do you do c/s vs svd |
-5%
-maternal blood screen -tx AZT - viral load < 1000 for svd |
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Neisseria Gonorrhoeae
-neonatal infxn -screening -tx for maternal tx for disseminated |
-sepsis, *conjunctivitis*
-GCC cervical culture -Erythromycin disseminated: IM ceftriaxone |
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Chlamydia tx in pregnancy
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azithromycin/amoxicillin
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Hep B
-neonatal -screen -prevention |
-prematurity, IUGR, neonatal death
-HbsAg screening, if + => give IG at birth and vaccinate at birth, 1m, 6m |
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Syphilis
-early sx -late sx -screen -tx |
-early: MP rash, HSM, LAD, hemolysis/jaundice
-late: CNVIII deafness, saber shins, mulberry molars, hutchinson teeth, saddle nose -screen with syphilis IgG -tx Pen |
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Toxoplasmosis Gondii
-neonatal sx -tx of mom -tx of baby |
-hydrocephalus, chorioretinitis, intracranial calcifications
-mom: spiramycin -baby: pyrimethamine and sulfadiazine + folic acid |
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Rubeola
-neonatal sx -dx -tx |
-sx: high risk of neonatal death 20% term 55% preterm
-dx IgM or IgG after rash -immunize before pregnancy, do NOT give during pregnancy, immune serum globulin given to mother if develops during pregnancy |
