describe antepartum haemorrhage
haemorrhage from genital tract >24th week of pregnancy before delivery
what is used to achieve adequate contractions during induced labour
IV oxytocin
describe mixed urinary incontinence
involuntary leakage of urine accompanied or proceeded by urgency and on effort/ exertion
shoulder dystocia management
- discourage pushing
- call for help
- MacRoberts manoeuvre
- suprapubic pressure
- cleidotomy
- symphysiotomy
benefit of subdermal progesterone implant ‘the rod’
- no user input
- lasts for 3 years
- can be removed at anytime
- no causal effect on weight
ovarian cancer management
- surgery
- platinum and taxmen chemotherapy
- symptomatic management
vulvodynia presentation
persistent burning or aching @ vulvar area
what animal has teeth in its stomach?
lobster
congenital heart diseases associated with congenital rubella syndrome
- pulmonary artery stenosis
- patent ductus arteriosis
clinical signs of concealed haemorrhage
fundal height larger than would be consistent for gestation
preterm labour
onset of labour before 37 completed weeks gestation
fibroadenoma management
may regress with age
management of hypermesis gravidarum
- anti-emetics
- B6 and B12
- steroids
- IV fluids
- hospital admission
what happens in cystic fibrosis
defect of cellular chloride transport
what is Tay-Sachs
progressive, genetic, lysosomal storage disease
testing options available for >1/150 risk of developing downs syndrome
- CUS
- amniocentesis
- non-invasive pre-natal testing
who’s the most wonderful person to ever walk this earth
E.M.M.A
define lactogenesis 2
onset of copious milk secretion occurring between 32-96 hours after birth
causes of spontaneous miscarriage
- abnormal conceptus
- uterine abnormality
- cervical incompetence
- increased age
- diabetes
- cocaine
what is this clinical presentation suggestive of:
- yellow/ green offensive vaginal discharge
- vaginal soreness
- vaginal itching
- 3->7 years old
vulvovaginitis
secondary ammenhorea investigations
- pregnancy test
- abdo/ bimanual
- urine dipstick
- testosterone
- BMI
- thyroid
- FSH
- oestradiol
- prolactin
- USS
normal length menstrual cycle
24->38days
