Obstetric modules
9 modules8 presentations
The conditions of pregnancy: hypertension, diabetes, growth, bleeding, preterm birth, twins, early pregnancy.
- 01Hypertensive disorders of pregnancyFour diagnoses on one blood pressure cuff: chronic, gestational, preeclampsia (with or without severe features) and superimposed. The difference is when it started and what else is involved.Obstetrics · condition · 20 to 40 wk20 to 40 wk
- 02Diabetes in pregnancyScreen everyone at 24 to 28 weeks, earlier if at risk. Treat to targets, watch growth, plan the birth, and test again after it.Obstetrics · condition · 24 to 40 wk24 to 40 wk
- 03Fetal growth: small, restricted and largeSmall for gestational age is a measurement. Growth restriction is a fetus that has not reached its potential. The Doppler tells you which one you are looking at.Obstetrics · condition · 20 to 40 wk20 to 40 wk
- 04Bleeding in later pregnancy: praevia, abruption, vasa praeviaAfter 20 weeks the three that matter are placental. The first rule protects the patient from the examiner: no vaginal examination until praevia is excluded.Obstetrics · condition · 20 to 40 wk20 to 40 wk
- 05Preterm labour and preterm prelabour rupture of membranesBefore 37 weeks, contractions and ruptured membranes each have a pathway: confirm, buy time for steroids and transfer, protect the brain, treat infection, and know when to stop trying.Obstetrics · condition · 22 to 37 wk22 to 37 wk
- 06Multiple pregnancyChorionicity decides the surveillance; the risks of preterm birth, growth discordance and twin-twin transfusion are managed from the first trimester onward.Obstetrics · condition
- 07Ectopic pregnancy and pregnancy of unknown locationA positive test, pain or bleeding, and no intrauterine pregnancy on scan. The tube is the usual site; the discriminatory hCG and the trend decide the next step.Obstetrics · condition · T1T1
- 08Early pregnancy lossOne in five pregnancies; the ultrasound criteria are strict on purpose, and the management is a choice among three good options.Obstetrics · condition · T1T1
- 09Breech and malpresentationThree to four percent at term. Confirm it, offer to turn it, and plan the birth with the patient.Obstetrics · condition · 34 to 40 wk34 to 40 wk
Presentation-first
The way patients arrive: a symptom, a first question, a workflow, a differential with what favours and what argues against each.
- Bleeding in early pregnancyIs she stable, and where is the pregnancy?
- Bleeding in later pregnancyWhere is the placenta, and is anyone bleeding to death?
- Abdominal pain in pregnancyWhat gestation, and is the pain obstetric or not?
- Headache or raised blood pressure after 20 weeksIs this preeclampsia, and how severe?
- Decreased fetal movementsIs the fetus alive and well right now, and why did movements fall?
- Leaking fluid: rupture of membranesAre the membranes ruptured, and at what gestation?
- Contractions before 37 weeksIs this preterm labour, and if it might be, what can be done in the next 48 hours?
- Fever after deliveryWhat day, what route of delivery, and where is the source?