A 29-year-old primigravida is currently in labor for ten hours and has progressed through the first stage without any complications. However, the midwife has observed CTG abnormalities and palpated the umbilical cord. The obstetric registrar is called and upon checking the CTG, variable decelerations are noted. What is the primary course of action for addressing the cause of these decelerations?
You are evaluating a 23-year-old female who is 8 weeks pregnant and experiencing severe vomiting, making it difficult for her to retain fluids. What is the best method to determine the severity of her symptoms?
A 32-year-old woman who is 28-weeks pregnant arrives at the emergency department with a swollen and tender left calf, which is confirmed as a DVT. Suddenly, she experiences acute shortness of breath and complains of pleuritic chest pain. What is the best initial management step for the most probable diagnosis?
A 32-year-old woman is ready to leave the postnatal ward after giving birth to her daughter through normal vaginal delivery 12 hours ago. She asks about contraceptive options as she feels her family is complete. She has a clean medical history and had no complications during her pregnancy or labour. She has previously used the intrauterine system (IUS) and wishes to continue with it. What recommendations should she receive?
A 25-year-old woman is being assessed in the postpartum unit, 48 hours after a vaginal delivery. The delivery was uncomplicated and she is eager to be discharged. She has initiated breastfeeding and is forming a strong attachment with her newborn.
When inquired about birth control, she reports that she previously used the progesterone-only pill and wishes to resume this method. What is the soonest she can restart this contraception?
A woman at 28 weeks gestation presents to the maternity assessment unit with complaints of reduced fetal movements (RFM). She reports that she has not felt her baby move for the past 10 hours. There is no history of vaginal bleeding or pain. The midwife is unable to detect a fetal heartbeat using the handheld Doppler. What further investigations would be carried out to assess the reduced fetal movements?
A 29-year-old woman arrives at the Emergency Department, worried about her pregnancy. She is currently 32 weeks pregnant and has not experienced any complications. However, during a shopping trip a few hours ago, she felt a sudden rush of fluid from her vagina and noticed that her underwear was wet.
The triage nurse has already taken her vital signs, which are all within normal limits.
What is the initial test that should be performed based on the probable diagnosis?
A 35-year-old female presents in the emergency department. She is concerned that her waters broke earlier today and reports a sudden ‘gush’ that soaked her pants. She is currently 28 weeks pregnant and has had an uneventful pregnancy thus far. What is the initial investigation that should be conducted?
A 30-year-old woman undergoes a vaginal delivery and is examined on the ward after the placenta is delivered. The examination shows a minor tear on the perineum without any muscle involvement. What is the best course of action?
You are a GP in a local surgery and the next patient is a 25-year-old type 1 diabetic who is interested in getting pregnant. She discontinued the use of the combined oral contraceptive pill (Microgynon) two weeks ago. Her body mass index is 23 kg/m² and she is only taking insulin as medication. What other advice should you give her?