OBG Summary Tables

Type	Condition
Absolute	Galactosemia
Relative	Anticancer drugs/chemotherapy
ㅤ	Illicit drug user
Infections	Active TB infection
ㅤ	Brucellosis
ㅤ	HSV
ㅤ	Ebola virus
ㅤ	HTLV I, II
ㅤ	Varicella zoster infection (Within 5 days prior to delivery & 2 days after delivery)

Sign	Characteristic
Robert sign (1st sign)	Presence of gas in great vessels
Spalding sign	Overlapping of cranial bones of fetus
Ball sign	Hyperflexion/Hyperextension of spine
Deuel's halo sign	Increased pericranial fat

Condition	Time of TOP (Weeks)
Mild pre-eclampsia	37
Severe pre-eclampsia	34
Impending eclampsia/eclampsia	Immediate TOP after 1st dose of steroid
HELLP syndrome	Immediate TOP after 1st dose of steroid
PIH with fetal distress/abruption	Immediate TOP after 1st dose of steroid
Umbilical artery doppler: s/d ratio >3	37
Absent diastolic flow	33-34
Reversed diastolic flow	31-32
IUGR → Doppler s/d ratio <3:	ㅤ
Weight: 3-9 percentile	39
Weight: <3 percentile	37
IUGR → s/d ratio >3	37
Increased s/d ratio + IUGR + oligohydramnios	34
Diabetes: Type A1 or A2 (Well controlled)	39
Diabetes: Type A2 (Not well controlled)	37
Overt diabetes: No complication	39
Overt diabetes + vasculopathy	37
MCMA twins /conjoint twins	32-34 by caesarean section
MCDA twins	34-37
DCDA twins	38
Cholestasis in pregnancy	37-38
AFLP	Immediate TOP

Drug	Indication	Dose	Schedule
Misoprostol	T1 medical abortion	800 mcg P/V	• To be given on D3; • On D1: 200 mg mifepristone
ㅤ	T2 abortion	200-800 mcg P/V	• WHO: 400 mcg every 3 hourly; • Max: 4 doses
ㅤ	AMTSL	600 mcg oral	CAN: 400-600 mcg
ㅤ	PPH	800 mcg S/L or oral	ACOG: 600-1000 mcg S/L, oral or P/R
ㅤ	Induction of labour	25 mcg	Repeat every 4th hourly (max: 6 doses)
Carbetocin	AMTSL	100 mcg slow IV	-
Carboprost	PPH	250 mcg	• Repeat in 15-90 minutes; • max: 8 times -> 2 mg
Dinoprostone	Induction of labour	0.5 mg	• Repeated 6 hourly; • max: 4 times