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14 Cards in this Set
- Front
- Back
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Pre-pregnancy counselling formula |
Doc Her Mum Told her **** All (Demographics, History, Meds, Tests, Foods, Advice) |
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Pre-existing DM in pregnancy (5) |
Not advised to get pregnant with HbA1c over 10% as there is a relationship with sacral agenesis, cleft palate, heart defects and NTD |
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Epilepsy in pregnancy (5) |
Must cease sodium valproate and change to a safer one at minimum effective dose None of the meds are 100% safe as they all cross into the breastmilk Epileptic fits in pregnancy are dangerous too Higher dose folic acid (5mg) Slight risk of child having epilepsy |
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HTN in pregnancy (2) |
Important to achieve good control ACEi teratogenic - need to swap to BB or CCB |
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Depression/bipolar/anxiety (4) |
Some meds are teratogenic Need to counsel about the risk of baby blues, PND, PN Psychosis |
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Cardiac disease - AVOID PREGNANCY (3) |
Eisenmengers Complex cyanotic CHD Cardiomyopathy (EF<40%) |
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Medium risk cardiac disease (4) |
Marfans Coarctation MS AS |
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Thalassemias (4) |
Alpha major -FDIU Beta major - serious complications Alpha minor - carrier Beta minor - carrier |
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Sensitising events in pregnancy (13) |
Amniocentesis CVS Cordocentesis APH ECV Ectopic Evacuation of molar pregnancy IUFD Stillbirth Miscarriage Threatened abortion TOP Delivery (Normal, Instrumental, LUSCS) |
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Ectopic pregnancy bHCG |
LESS than intrauterine pregnancy |
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Types of GTD (4) |
molar pregnancy - partial (69 chm) 2 sperm 1 egg - These guys are ok molar pregnancy - complete (46 chm) 2 sperm 0 egg -MALIGNANT RISK 5% Choriocarcinoma (curable with methotrexate chemo) Placental site trophoblastic tumour (bad) |
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Symptoms/signs of molar pregnancy |
Early pregnancy symptoms <6/40 Big uterus Huge BHCG Snow storm appearance on TVUS |
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Management of molar pregnancy |
D&C Complete - watch the BHCG for 6/12 No oestrogen contraceptives as they can feed a tumour No pregnancy for 6/12 |
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All congenital infections cause |
Microcephaly IUGR Deafness |
