OBSTETRICS WEEKLY ESSAY CATS

1. Define the term
Pre eclampsia
Eclampsia
What are the risk factors for eclampsia
How would you manage a 17 yr old at 37 weeks gestation with eclampsia.
2. Define premature rupture of membranes
i. What history is suggestive of PROM
ii. How would you confirm that a patient has PROM
iii. What are the relevant investigations for a patient with PROM at 32 weeks.
iv. What factors would lead you to decide to deliver a mother at 32 weeks gestation and not in labour.
v. What are the possible complications of PROM
3. Discuss the active management of labour.
4. Discuss the management of a 32 year old Para 1+0 with twin pregnancy at 26 weeks
5. Disuss the management of an 18 year old primi gravid presenting at 28 weeks gestation with a Hb of 8g/dl
6. Describe the management of a 25 year old Para 1+0 who comes to the antenatal clinic with one previous C/S scar
7. Discuss the aetiology and management of breech presentation
8. Discuss the management of a lady admitted with vaginal bleeding at 32 weeks gestation
9. List at least 6 complications of obstructed labour and describe its clinical presentation, diagnosis, treatment and prevention.
10. Discuss the traditional practices that adversely affect the reproductive health of women in Kenya.
11. Discuss the aetiology, presentation, management and prevention of pregnancy induced hypertension and eclampsia.
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