A 32-year-old woman who is 36 weeks pregnant visits her GP complaining of intense itching on the soles of her hands and feet, particularly at night, which is disrupting her sleep. Due to abnormal liver function tests (LFTs), she is referred to the obstetric team. The team prescribes medication that greatly alleviates her pruritus symptoms.
What is the probable medication that the obstetric team has prescribed to this patient based on the given information?
A 35-year-old pregnant woman visits antenatal clinic with complaints of headaches and sudden swelling of her ankles within the past 3 days. She is currently 30+4 weeks pregnant, with a history of diabetes mellitus type II that is managed through lifestyle changes. During the examination, it was observed that the fundal height is measuring small for her gestational age. Consequently, an ultrasound scan was ordered, which revealed oligohydramnios. What is the most probable cause of oligohydramnios in this patient?
A 28-year-old woman who is 30+2 weeks pregnant, G3 P2+0, arrives at the maternity triage unit due to an episode of vaginal bleeding. Her previous deliveries were both elective Caesarean sections. She has had an uncomplicated pregnancy so far and reports that the bleeding was about a tablespoon in amount without accompanying pain. What is the next step in establishing a diagnosis?
During routine antenatal swabs, a mother is found to be colonised with Group B Streptococcus. However, she did not receive adequate intrapartum antibiotic prophylaxis and she delivers a healthy baby boy by vaginal delivery. Her baby does not require any resuscitation and remains well in the postnatal ward. The mother is keen to be discharged home. What is the best course of action for her child?
A 34-year-old female who is 28 weeks pregnant presents to the emergency department with severe lower abdominal pain. She is tachycardic but is otherwise stable. On examination, her uterus is tender and hard, but fetal lie is normal. Cardiotocography shows no signs of fetal distress.
What is the most appropriate course of action for management?
A 25-year-old patient with a history of well-controlled epilepsy visits the general practice with her partner. They have been attempting to conceive through regular sexual intercourse for the past 10 months. The patient is currently taking omeprazole, levetiracetam, folic acid 400 micrograms, and paracetamol as needed. What medication adjustments would be most suitable?
A 32-year-old pregnant woman presents to your clinic with concerns about her rubella status. Her sister’s child has recently been diagnosed with rubella, and she is currently 10 weeks pregnant. What is the initial course of action you would recommend?
A 29-year-old pregnant woman attends her 12 week booking appointment at the antenatal clinic. She has no previous medical history and is pregnant for the first time. During the appointment, the midwife takes a blood sample to screen for HIV, rubella, and syphilis, and sends a midstream urine sample for culture to check for asymptomatic bacteriuria. What other infectious disease is routinely screened for during pregnancy?
A 28-year-old woman who is 35 weeks pregnant presents to the Emergency Department with fever, abdominal pain, and anxiety. She reports experiencing night sweats for the past few days and has a history of uterine fibroids. She has been sexually active throughout her pregnancy. During the examination, there is significant uterine tenderness and a foul-smelling brown vaginal discharge is observed. The patient’s blood pressure is 134/93 mmHg, and her heart rate is 110 beats per minute. Her white blood cell count is 18.5 * 109/l. The fetal heart rate is 170 beats per minute. What is the most likely diagnosis?
A 29-year-old woman presents to the Emergency Department at 36-weeks gestation with vaginal bleeding and lower abdominal pain. She is conscious and responsive. During the physical examination, her heart rate was 110 bpm, blood pressure was 95/60 mmHg, and O2 saturation was 98%. Neurological examination revealed dilated pupils and brisk reflexes. Laboratory results showed Hb of 118 g/l, platelets of 240 * 109/l, WBC of 6 * 109/l, PT of 11 seconds, and APTT of 28 seconds. What underlying condition could best explain the observed physical exam findings?