31: Common complications during PG Flashcards
Position to prevent bladder stasis:
left lateral
Avoid Sulfonamides (i.e Bactrim) in what Trimesters:
1st
3rd
Fetal complications of CMV:
abd and liver calcifications
hydrops fetalis
growth retardation
Definitive dx. of CMV:
culture of amniotic fluid
Toxoplasmosis is a
parasite
Transmission of toxoplasmosis:
Food (contam meat/veggies)
Animals to humans (cat feces)
Screen for GBS at what weeks?
35-37 weeks
GBS can cause neonatal..
pneumonia, meningitis, septicemia
Late neonatal result of GBS…
blindness
deafness
seizure
hydrocephalus
Trichomoniasis increases risk for:
PROM
low birth weight
pre-term
HIV infection
frothy, green vaginal discharge..foul odor.
ph<5
Trichomoniasis
Treat trich. with what:
metronidazole 2 g x 1 dose (any stage of pg)
only 2% risk of maternal-fetal transmission of HIV by doing what:
taking antiretroviral drugs
avoid procedures that can cause fetal-maternal blood exposure (amnio, CVS, lactation)
A pg woman at high risk for HIV should be re-tested when:
3rd trimester
Hep. B infection can cause:
SAB
Pre-term birth
Can you breastfeed if Hep. B positive?
YES! ( there is no report of transmission thru breastmilk)
Congenital syphilis:
acquired if infected < 28 weeks
congenital syphilis can cause:
fissures/cracks at mouth saddle nose pre-term fetal death Diabetes
This infection is associated with ectopic pregnancy, PROM, growth restriction, pre-term birth:
Gonorrhea and Chlamydia
What causes neonatal conjunctivitis and sepsis of newborn:
Gonorrhea and Chlamydia
Treat gonorrhea with what:
250 mg ceftriaxone IM
1 g Azithro
Treat chlamydia with what:
1 g Azithro