Management of obstetric conditions
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| show | Assess risk.
USS for growth.
CTG for ?distress.
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| ?SROM | show 🗑
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| show | Recheck BP and urinalysis twice a week.
USS.
Baseline investigations.
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| show | Admit to hospital, manage as pre-eclampsia.
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| BP 130/85, ++ proteinuria in commnity | show 🗑
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| Symphysis-fundal height >2cm below dates | show 🗑
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| Antepartum haemorrhage | show 🗑
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| show | Re-check at 37 weeks.
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| show | Admit to hospital.
USS.
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| show | Refer for USS.
Consider ECV.
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| show | Offer sweep or induction.
CTG daily if declines.
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| ?polyhydramnios | show 🗑
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| show | Repeat USS and UA doppler fornightly.
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| <10th centile at 32 weeks, UA doppler severe resistance | show 🗑
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| <10th centile at 38 weeks, UA doppler normal resistance | show 🗑
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| show | Control BP with nifedipine and start methyldopa.
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| show | Control BP with nifedipine and start methyldopa.
Induce labour.
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| show | IV MgSO4.
Test patellar reflexes to assess Mg toxicity.
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| show | USS to check presentation.
LSCS.
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| Antepartum haemorrhage secondary to placenta praevia with shock | show 🗑
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| show | ABCs.
CTG.
USS (exclude placenta praevia).
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| Painless antepartum haemorrhage | show 🗑
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| Pelvic pain and inconsistent PV bleeding | show 🗑
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| Pre-term SROM | show 🗑
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| Pre-term SROM with fever and tachycardia | show 🗑
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| Induction | show 🗑
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| show | FBS, urgent LSCS if indicated.
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| show | Urgent LSCS.
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| pH 7.23 on FBS | show 🗑
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| show | 2222 Obstetrics and anaesthesia on call.
ABCs etc.
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| Postpartum haemorrhage | show 🗑
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| Pre-term delivery | show 🗑
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