A 1-4 page document written by a final year medical student with distinction grades in the uploaded modules. These notes are concise and of very high quality - using a combination of textbooks, lectures, and current guidelines (NICE and RCOG). These documents are the only resource you should need f...
Alcohol Risk of anomalies related to the extent of alcohol use:
- 10% with rare use
- 15% with moderate use
- 30-40% with heavy use (>6 units a day)
Foetal Effects:
Foetal alcohol syndrome
- Mid-facial hypoplasia
- Microcephaly
- Learning difcultes
- IUGR
Renal defects
Cardiac defects
Neonatal abstnence syndrome (NAS)
Cigarete 20-30% of smoking women contnue to smoke during pregnancy
Smoking Smoking decreases fertlity
Foetal effects:
Spontaneous aborton
Preterm birth
Perinatal mortality
IUGR (200g decrease in birth weight for every 10 cigaretes smoked per day)
Marijuana Foetal effects:
No known teratogenic efect
Associaton with:
- Preterm birth
- IUGR
- Neurodevelopmental delay
Cocaine Foetal effects:
IUGR
Cerebral infarcton
Placental abrupton
Congenital anomalies (due to cocaine-induced vasospasm) e.g.
- Microcephaly
- Limb reducton defects
- Porencephalic (brain) cysts
- Bowel atresia
- Necrotsing enterocolits
- Long-term behavioural defects
Maternal effects:
Uterine rupture
HTN
Seizures
Death
Antenatal Management for Addicton
SMOKING
All women should be advised to stop smoking or given help to cut down, preferably before they conceive
NRT can be prescribed by her GP (NOTE: Do NOT prescribe Bupropion if pregnant or breasteeding)
ALCOHOL
Clear advice to cut down her alcohol consumpton
Educated about the increased risks associated with drinking in pregnancy
Self-help booklet ‘So you want to cut down your drinking?’ (HEBS 1998)
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