4.2 Flashcards
What criteria categorize chronic HTN?
Dx: BP>140/90, prior to preg or prior to 20wk EGA, OR persists beyond 12 wk postpartum
Tx goal:
What criteria categorize chronic HTN w/ superimposed preeclampsia?
EGA >20wks, proteinuria >300mg/d when it wasnt there at EGA 160/110
Gestational hypertension
EGA>20wk where BP >140/90 but was normal before 20wk. No proteinuria. Tx goal
Preeclampsia
BP>140/90 on two readings, Proteinuria >300 mg / 24 hours on spot estimation. Gestational age > 20 weeks
Preeclampsia w/ Severe Feature
SBP >160 or DBP >110. New onset renal insufficiency Cr >1.1
2X Pulmonary edema.
Thrombocytopenia ( 2x normal) liver distention (RUQ pain / N/V )
New onset visual or neurologic disturbances
What is HELLP syndrome indicative of?
Complication of preexclampsia
Management for preterm preexclampsia
Betamethasone for lung
monitor for severe features
Deliver at 34wks if severe (32 is lowest). If not severe only preeclamp then wait to 37.Can try to prevent preeclamp w/ Mg but its more of eclampsia (seizure tx)
who is screened for gestational DM and how?
Everyone. 50GTT (1hr) at 24-28wk EGA after the 1st trimester test. If pos, confirm w/ 100GTT(3hr) fasting for 8-10hr, draw at fasting,1, 2,3hr post prandial
What are the criteria for the 100GTT (3h) test in GDM?
Fasting
What are are GDM class A1 and A2?
A1: controlled w/ diet and exercise NST/AFI>38wk
A2: controlled w/ meds (insulin or oral NST/AFI >32wk
What do GDM babies look like?
Little football players!