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Obstetrics and Gynaecology > Large for dates > Flashcards

Flashcards in Large for dates Deck (10)
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1
Q

Clinical presentations

A

Usually none
Breathlessness->polyhydramnios
++Vomiting->multiples, trophoblastic disease

2
Q

Examination

A

+fundal height

+palpable fetal parts if multiples

3
Q

Differential (6)

A
Incorrect
Obesity
Polyhydramnios
Accelerated growth
Multiples
Molar pregnancy
4
Q

Definition of polyhydramnios

A

Max AFI >8cm

Fluid >20 cm

5
Q

Cause of polyhydramnios

A
Multiples
Maternal->GDM
Neonatal:
Gastroduoneal atresia, compression
Neurological, swallowing
Hydrops
Infection->TORCH, Syphillis
Twin to twin transfusion
Placental:
Chorioangioma
6
Q

Investigations for polyhydramnios

A

USS
GTT
Infection screen

7
Q

Complications of polyhydramnios

A
Preterm
Placental abruption
Unstable lie
Abnormal presentation
Cord prolapse
Uterine atony
8
Q

Management of polyhydramnios

A

Treat underlying

Amnioreduction->may need repeated drainage

9
Q

Define macrosomia

A

Weight >90th centile, >4000-4500g

10
Q

Complications of macrosomia

A

Obstructed labour
Birth trauma
Shoulder dystocia