OB EXAM questions

Generalized itching without the presence of a rash NOT associated with poor perinatal outcomes

• Polymorphic Eruption of Pregnancy 

• Pruritus Gravidarum

• VBAC candidates 

• Intrahepatic Cholestasis of Pregnancy

tx for Pruritus Gravidarum

• antibiotics

• oral antihistamines

• skin lubrication

• topical antipruritics

Pruritus Gravidarum is associated with:

• multiple gestation

• fertility treatment

• multiparity

• diabetes

• nulliparity

Common pregnancy-specific cause of pruritus, (aka) pruritic urticarial papules and plaques of pregnancy (PUPPP) typically starting in abdomen -> arms, thighs, back + buttocks; NOT associated with poor maternal or fetal outcomes

• Polymorphic Eruption of Pregnancy 

• Pruritus Gravidarum

• VBAC candidates 

• Intrahepatic Cholestasis of Pregnancy

tx for mild Polymorphic Eruption of Pregnancy

• prednisone

• topical antipuritics

• topical steroids

• oral antihistamines

tx for severe Polymorphic Eruption of Pregnancy

• prednisone

• topical antipuritics

• topical steroids

• oral antihistamines

Usually disappears shortly after birth but can reoccur in ½ of subsequent pregnancies.

• Polymorphic Eruption of Pregnancy

• Pruritus Gravidarum​

• Usually resolves before birth or within several weeks after birth; rarely persists or begins after birth; does not usually recur in subsequent pregnancies​

• Polymorphic Eruption of Pregnancy

• Pruritus Gravidarum​

• common liver disease of pregnancy; Characterized by generalized pruritus that usually begins in the third trimester of pregnancy.

• Polymorphic Eruption of Pregnancy 

• Pruritus Gravidarum

• VBAC candidates 

• Intrahepatic Cholestasis of Pregnancy

characteristics of Intrahepatic Cholestasis of Pregnancy (ICP)

• affects primarily the palms + soles (can occur anywhere)

• no lesions are present

• itching = worse at night, occurs more during winter

• lesions are present