A 27-year-old female with epilepsy controlled on topiramate is seeking advice on contraception options that will not interfere with her medication. She desires a reliable method due to concerns about teratogenicity. What type of contraception would be suitable to recommend while taking an enzyme-inducing medication?
A 22-year-old female comes in for a check-up. She is currently 16 weeks pregnant and has already had her booking visit with the midwives. So far, there have been no complications related to her pregnancy. The tests conducted showed that she has a blood group of A and is Rhesus negative. What is the best course of action for managing her rhesus status?
A 25-year-old female primip comes in during the 12th week of pregnancy with complaints of ongoing nausea. Her urine dipstick shows no ketones present. She asks for medication to alleviate her symptoms. What is the best drug to recommend?
Sophie, who is interested in starting the copper coil for contraception, approaches you. She is on day 12 of her menstrual cycle and is currently relying on condoms for protection. Sophie assures you that there is no possibility of her being pregnant. She wants to know if she needs to use additional protection if she gets the copper coil inserted today, and if so, for how long?
A 30-year-old woman, who recently gave birth, visits her GP for a routine check-up. She expresses her worries about the medications she is taking for her different health conditions and their potential impact on her breastfeeding baby. Which medications are safe for her to continue taking?
Which of the following is not a recognized benefit of breastfeeding for infants under six months of age?
You are assessing a 32-year-old woman who has recently given birth. She has a lengthy medical history of rheumatoid arthritis but did not take any disease-modifying medications during pregnancy as her symptoms were well managed. Regrettably, she has experienced a flare-up of her symptoms after giving birth. Laboratory tests reveal the following results:
– CRP 35 mg/L
Her infant is currently 3 weeks old, and she is currently breastfeeding. She is curious if she can resume taking methotrexate. What is the current guidance provided in the British National Formulary (BNF)?
Emma is a 28-year-old woman who comes to see you for a follow-up visit. You initially saw her 2 months ago for low mood and referred her for counselling. She states she is still feeling low and her feelings of anxiety are worsening. She is keen to try medication to help.
Emma has a 5-month-old baby and is breastfeeding.
Which of the following is the most appropriate medication for Emma to commence?
A 28-year-old woman contacts the clinic seeking guidance. She has missed taking her Cerazette contraceptive pill yesterday. Based on your calculation, it has been approximately 48 hours since she last took a Cerazette pill. She is typically diligent in taking her pills and has not missed any other pills in the last half-year. Her last sexual activity was eight days ago. What is the best advice to provide her?
A woman who is 16 weeks pregnant presents as she came into contact with a child who has Chickenpox around 4 days ago. She is unsure if she had the condition herself as a child. Blood tests show the following:
Varicella IgM Negative
Varicella IgG Negative
What is the most appropriate management?