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13 Cards in this Set
- Front
- Back
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What are the layers of the abdomen to get to the baby |
Anterior recurs sheath Rectus abdominis muscle Transversalis fascia Extra peritoneal connective tissue Peritoneum Uterus |
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What are the contraindication fo vagina birth after caesarean |
Previous uterine rupture Classical caesarean scarwbat is rs |
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What is a risk factor for development of surfactant deficient lung disease in the newborn |
Maternal diabetes mellitus |
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What are the referral criteria for endometrial cancer |
Women >= 55 years who present with post menopausal bleeding First line inx is trans vsginal ultrasound if thickness is >4 cm then you should do hysteroscopy |
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What are the risk factors of postpartum haemorrhage |
Previous PPH prolonged labour Placental praevia / accreta Emergency c section |
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What are the grades of prolapse |
1 descent within vagina 2 descent to introitus 3 descent beyond introitus 4 uterus outside introitus |
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How is stress incontinence treated |
Conservative : Pelvic floor exercises Medical : Duloxetine 40mg : oral pharmacological Surgical Mid-urethral tension free tape inserted under local anaesthetic, or synthetic slings can cure. If previous surgery has failed artificial sphincters may be needed. Anterior repair is the mainstay of treatment for SUI Traditional posterior repair is preferred as mech has not been shown to be beneficial and has extra risk |
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What is the treatment for a vault prolapse |
Sacrocolpoplexy or sacrospinous fixation Colpocleisis : closure of the vagina to treat vault/pelvic organ prolapse |
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What are some causes of primary amenorrhoea |
Hypothalamic amenorrhoea Hypothyroidism Hyperprolactinaemia Imperforate hymen Vaginal atresia Turners |
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What are some causes of secondary amenorrhoea |
Pregnancy Weight loss Exercise Stress Sheehans Pituitary tumour Ashermans PCOS |
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What are some indications for GnRH analogues |
Endometriosis Hirsutism DUB Fibroids |
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how long should woman still use contraception after stopping periods |
12 months after last period - > 50 24 months after last period < 50 |
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What are the key risks factors for shoulder dystocia |
Macrosomia Gestational diabetes Hi BMI Prolonged labour
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