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PREGNANCY Emily Hodgson
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Basic Facts Normal Pregnancy is how many weeks?
‘Term’ is considered to be? 37 to 42 weeks The legal definition of foetal viability in the UK is currently? 24 weeks What is the definition of foetal period? 9 weeks onwards
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Monitoring Pregnancy USS CTG Doppler Ultrasound
Week (mainly dating) and (anomalies) Amniocentesis CTG Doppler Ultrasound Foetal scalp blood sample Mother
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Growth Weight is estimated from? Head circumference
Abdominal circumference Femur length
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IUGR Causes can be maternal, placental or foetal
What is the difference between symmetrical and asymmetrical growth restriction? Asymmetrical: Most common HEAD SPARING Lack of subcutaneous fat leads to thin, small body which is out of proportion Usually extrinsic factors Symmetrical: More serious Chromosomal disorders, early gestational infections, alcohol
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BATH’M Biophysical Profile Breathing movements Amniotic fluid volume
Tone at rest Heart Rate Movement BATH’M
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Cardiotocography Baseline Variability Decelerations Accelerations
Variability ≥5 Decelerations None (except back to baseline) Accelerations Present
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Prematurity What is a tocolytic? What does it allow?
Medication used to suppress premature labour What does it allow? Administration of corticosteroids in order to accelerate foetal lung maturity Transfer to suitable unit
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That’s it!
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