Obstetrics

Page Contents
16.01 Antenatal care
• Pre-pregnancy counselling
• Physiological changes in pregnancy
• Antental care
• Structural abnormalities
16.02 Antenatal care
• Aneuploidy & screening
• Invasive testing• Use of anti-D
• Antenatal care timetable
16.03 Antenatal care
• Minor symptoms in pregnancy
• Hyperemesis gravidum
• Thromboprophylaxis• VTE
16.04 Pre-existing problems
• Hypertension• Anaemia
• Diabetes• Hyperthyroidism
• Jaundice• Malaria
• Renal disease
16.05 Pre-existing problems
• Psychiatric conditions – drugs
• Epilepsy• Connective tissue disease
• HIV• Rubella• Measles
16.06 Ante/perinatal infections
• Syphilis• CMV• Parvovirus B19
• Toxoplasmosis• Listeria
• Hepatitis B & E
16.07 Ante/perinatal infections
• Herpes simplex• Varicella zoster
• Chlamydia• Gonorrhoea
• Clostridium• TB• Group B Strep
• Opthalmia neonatorum
16.08 Antenatal problems
• Abdominal pain in pregnancy DDx
• Pre-eclampsia• HELLP syndrome
• Oligohydramnios• Polyhydramnios
• Small for gestational age
16.09 Perinatal baby problems
• Prematurity• Postmaturity
• Birth injuries
16.10 Labour and problems
• Normal labour• Induction
• Pain relief in labour• Monitoring
16.11 Labour and problems
• Multiple pregnancies (twins/triplets)
• Breech presentation
• Meconium-related problems
• Reduced foetal movements
16.12 Labour and problems
• Retained placenta
• Instrumental vaginal delivery
• Caesarean section• Stillbirth
16.13 Labour and problems
• Placenta problems – vasa praevia, placenta accreta, placenta praevia
• Perineal tears + episiotomy
• Puerperal psychosis
16.14 Obstetric emergencies
• Sepsis in the puerperium
• Eclampsia• Placental abruption
• Cord prolapse• Shoulder dystosia
16.15 Obstetric emergencies
• Uterine rupture
• Postpartum haemorrhage
• Amniotic fluid embolism
• DIC & coagulation defects
16.16 Contraception
• Combined pill, patch, ring
• Condoms• Progesterone-only pill
• Injectable contraceptives
• Implantable contraceptives
16.17 Contraception
• Intrauterine system• Copper IUD
• Emergency contraception
• Postpartum contraception
• Contraception for specific populations
  - >40yos- Obese pts
  - Epilepsy- Transgender/nonbinary