Two important charts from the RCOG Guideline 37 a.
True/False ? Aspirin is an effective thromboprophylaxis in pregnancy
Q3 VTE Prevention A pregnant woman is on long term oral anticoagulation due to previous history of pulmonary embolism. She reports to the maternity triage in early labor. She plans to get epidural analgesia. What is the recommended thromboprophylaxis in peripartum period for women with […]
A woman with history of deep vein thrombosis is on prophylactic dose of Low molecular weight heparin( LMWH) . At 38 week’s gestation, she is planned for elective Lower Segment Cesarean section under Spinal Anesthesia. The LSCS is scheduled for 7 AM tomorrow morning. When […]
A 30 years old primigravida reports to the Booking Clinic. She had Deep vein thrombosis 2 years ago, and received anticoagulation for 6 months afterwards. She has no other medical conditions. There is no history of any major surgery. Her BMI is 24. Will she need thromboprophylaxis […]
Next Week’s Quiz Questions will on Reducing the Risk ofVenous Thromboembolism during Pregnancy and the Puerperium- Green Top Guideline 37a Here is the Download Link – https://www.rcog.org.uk/globalassets/documents/guidelines/gtg-37a.pdf
What should be the source of Fibrinogen replacement during ongoing PPH( Postpartum Haemorrhage) ?A. Fresh frozen plasmaB. Fresh whole bloodC. CryoprecipitateD. Fibrinogen Concentrate
What is the appropriate first line Surgical Intervention in Atonic Postpartum Haemorrhage ( PPH) , if pharmacologic therapy fails to control the haemorrhage? A. B Lynch SutureB. Stepwise devascularizationC. Intrauterine balloon tamponadeD. Uterine artery embolization
The RCOG guideline recommends the use of intravenous oxytocin to reduce the risk of PPH at the time of Caesarean Section. In women at increased risk of PPH, what else should be used to reduce the risk of bleeding?A. Intramuscular ErgometrineB. Intramuscular OxytocinC. Intramuscular CarbetocinD. […]
In ongoing major PPH, what is the minimum level above which Fibrinogen concentration should be maintained?A. 1 gram/LB. 2 gram/LC. 3 gram/LD. 4 gram/L