B8-019 Maternal/Fetal Health Flashcards
within the first hour following delivery, what changes are occurring in the maternal cardiovascular system?
cardiac output and SV increase dramatically as blood from uterus reenters main circulation (autotransfusion)
(presents a problem for patients with preexisting CVD)
main mechanism to prevent post-partum hemorrhage
uterine involutions
(myometrial muscles contract)
fundus should be at the level of […] about 24 hours after delivery
umbilicus
main cause of postpartum hemorrhage
uterine atony
(myometrium doesn’t contract like its supposed to)
treatment for uterine atony
medications
uterine balloon tamponade
surgery to remove uterus
it is normal for lochia to occur up to […] weeks postpartum
6
pregnancy is a hypercoagulable state and remains elevated for […] weeks following delivery
12
(increases risk for PE or DVT after chidlbirth)
hCG levels return to zero within […] weeks after delivery
2-4
effects of estrogen and progesterone levels plummeting after delivery [2]
aids in lactation
may lead to hot flashes
mean postpartum weight retention per pregnancy is […] lbs
11.8
depression screening tool validated in pregnancy
Edinburgh Postpartum Depression Scale
(PHQ misses anxiety component)
conditions that develop in pregnancy […] the risk for development of that condition later on in life
increase
(i.e., gestational diabetes increases risk of DM2, post partum depression increases risk of depression, etc)
greatest incidence of new PPD occurs […] months postpartum
2-3
WHO recommends initiation of breastfeeding within […] of life
1st hr
WHO recommends exclusive breastfeeding within […] of life
6 months
breast is composed of […] lobes
15-25
when does mature milk appear after delivery?
3-7 days
first milk secretions after delivery
colostrum
death of a woman while pregnant or anytime within one year of pregnancy regardless of cause
pregnancy-associated death
death of a woman while pregnant or anytime within one year of pregnancy from a pregnancy complication or chain of events related to pregnancy
pregnancy-related death
death of a woman while pregnant or anytime within one year of pregnancy from a cause that is not related to pregnancy
pregnancy-associated but not-related death
(MVA)
death of a woman while pregnant or anytime within one year of pregnancy due to a cause that could not be determined to be related to pregnancy
pregnancy-associated but unable to determine pregnancy relatedness
number of pregnancy associated deaths per 100,000 live births
pregnancy associated mortality ratio (PAMR)
number of pregnancy related deaths per 100,000 live births
pregnancy-related mortality ratio (PRMR)
PAMR in the state of Kansas
56 deaths per 100,000 live births
(SUD, obesity, and mental health contributed to deaths)
PRMR in the state of Kansas
15 deaths per every 100,000 live births
leading cause is CVD conditions
when LMP is in question, […] is the most accurate way to establish an estimated gestational age
first trimester US
[T:F] soft cheese are safe in pregnancy if pasteurized
true
recommended weight gain in pregnancy for someone with a BMI > 30
11-20lbs
vaccine recommended between 27 and 36 weeks of pregnancy
Tdap
allows for passive immunity to the fetus against pertussis
lactogenenis can take up to […] to occur postpartum
one week
when should women resume exercise postpartum?
return gradual as is comfortable
bedrest is contraindicated in the postpartum period due to increased risk of
thromboembolic event
only nutrient missing in breastmilk
vitamin D
(mom can take large amounts herself or give the baby the supplement)
death while pregnant or within 42 days of pregnancy
maternal mortality
any death while pregnant or within the year following
pregnancy associated death
death due to a pregnancy related complication, or chain of events initiated by pregnancy
pregnancy related death
ideal mechanism to stop a postpartum hemorrhage
improve contractility of the myometrium of uterus
most likely cause of post partum hemorrhage
uterine atony
