management twin-twin transfusion
- amnioreduction of recipient
- intrauterine blood transfusion of donor
- selective foetal reduciton
- fetoscopic laser ablation of placental anastomosis
medical management ectopic pregnancy
methotrexate
management of bacterial vaginosis
metronidazole (oral/ vaginal)
or
clindamycin (vaginal)
pre-eclampsia blood investigations
- FBC
- U+Es (urea, creatinine, urate)
- LFTs
- coagulation tests
define acute chorioamionitis
neutrophils present in membranes, cord and fatal plate of placenta
management of diabetes pre-conception
- aim for HbA1C of <48
- better glycemic control (4-7)
- dietary advice
- retinal and renal assessment
describe how conjoined twins occur
cleavage after >day 12
define fibroadenoma
proliferation of epithelial and stromal elements
management of infertility
- weight loss/ gain
- clomifene
- gonadotrophin
- IVF
management of labial adhesion
- oestrogen therapy
- surgical seperation
management of microcalcifciations on mammography
most are harmless, nothing
define very preterm
28-32 weeks
management of vulvovaginal candiosis
clotrimazole PV once
clotrimazole cream if vulvitis
non-contraceptive benefits of COC
- regulate/ reduce bleeding
- helps acne/ hirsutism
- regular cycles
- reduction in functional ovarian cysts
50% cancer reduction - reduced risk of RA, osteoporosis
complications of placental abruption
- foetal death
- maternal shock
- collapse
- PPH
management vulval papillomotosis
entirely benign, leave alone
what percentage of downs syndrome babies does first trimester CUBS test detect
85%
how is cystic fibrosis diagnosed
- immunoreactive trypsin
- sweat test
- genotyping
presentation ovarian cancer
vague
- indigestion/ early satiety/ poor appetite
- altered bowel habit
- bloating/ distension
- pelvic mass
- pressure symptoms e.g. increased urinary frequency
MCADD preventative treatment
avoid fasting
monitor frequency of meals
PET prophylaxis in subsequent pregnancy
low dose aspirin from 12 weeks onwards
A baby puffin is called a “puffling.”
cayooooooooooooot
