A 25-year-old woman has just given birth to a baby boy. She has a complicated medical history including bipolar disorder, epilepsy, and antiphospholipid syndrome. Additionally, she frequently takes codeine and naproxen for chronic back pain resulting from a car accident. The new mother has informed you that she plans to breastfeed her baby. Which of her regular medications can she safely continue to take while breastfeeding?
A 33-year-old pregnant woman arrives at the maternity department at 40 weeks gestation. The medical team decides to perform an artificial rupture of the membranes, but during an examination, they discover that the umbilical cord is palpable vaginally. What position should the woman assume in this situation?
A 29-year-old pregnant woman presents at 40 weeks gestation for an artificial rupture of the membranes. Following the procedure, a vaginal examination reveals a palpable umbilical cord. What position should she be advised to assume?
A 36-year-old woman has given birth to her first child and was given a dose of intramuscular syntocinon before the placenta was delivered. During the wait for the placenta, she experiences a blood loss of 400ml. Even after the placenta is delivered, the bleeding continues and she loses an additional 500ml of blood. The medical team initiates the necessary resuscitation measures and the major haemorrhage protocol. The cause of the bleeding is identified as uterine atony, and the patient is given boluses of syntocinon, ergometrine, and carboprost. However, the bleeding persists. What is the most appropriate next step?
As a result of her advanced maternal age, a 43-year-old pregnant woman undergoes screening for chromosomal abnormalities. If her fetus is diagnosed with trisomy 21 (Down’s syndrome), what outcomes would be anticipated?
A 30-year-old nulliparous woman with Factor V Leiden presents for her initial antenatal visit. She has a history of unprovoked VTE, and the physician discusses thromboprophylaxis with her. What treatment pathway should be followed based on her risk?
A 30-year-old woman visits the booking clinic for her 8-week pregnancy check-up. It is revealed during the consultation that she has a history of two deep vein thrombosis. What will be necessary for her management considering her previous VTEs?
A 36-year-old G5P2 woman comes to antenatal clinic at 35+2 gestation with a history of uneventful pregnancy except for moderate morning sickness in the first trimester. She reports several minor symptoms. What symptoms would require further investigation and raise concern?
A 24-year-old woman who is 36 weeks pregnant arrives at the delivery suite with complaints of feeling generally unwell. Upon examination, a 32 week size foetus is noted. Her blood pressure is measured at 160/100 mmHg and 2+ protein is detected in her urine. While being examined, she experiences a seizure, leading you to suspect eclampsia. What is the first medication that should be administered?
A 27-year-old female patient arrives at 38 weeks gestation with a 4-day history of headaches and swelling in her lower limbs. Upon examination, her heart rate is 80 bpm, her blood pressure is 168/86 mmHg, and a urine dipstick reveals proteinuria. While being examined, she experiences a generalized tonic-clonic seizure that resolves on its own. An emergency C-section is planned, and another seizure occurs. What is the best course of action for her treatment?