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Reproductive System > Complications of Pregnancy > Flashcards

Complications of Pregnancy Flashcards

1
Q

what is the range for mild HT

A

90-99/140-149

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2
Q

what is the range for moderate HT

A

100-109/150-159

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3
Q

what is the range for severe HT

A

> 110/>160

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4
Q

what is gestational hypertension

A

hypertension which develops after 20 weeks of gestation

can lead to pre-eclampsia

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5
Q

what are changes in women already hypertensive before preganncy

A

change meidicnes-ramapril causes defects-methlydopa

diuretics

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6
Q

what is pre-ecamplsia

A

significant proteinuria more than 300 and hypertension
mild on 2 occasions
or severe

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7
Q

what is the effects of pre-ecamplsai

A

leads to reduced placental perfusion

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8
Q

what are the risk factors for PET

A

first pregnancy
>35
multiple pregnancies
diabetes

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9
Q

what can it leads to

A 
seizures
renal failure
cardiac failure 
HELLP
haemolysis
elevated liver enzymes
low platelets
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10
Q

what are the signs/symptoms of pre-eclampsia

A 
headache
blurred vision
epigastric pain
pain below ribs
swelling of hands and legs
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11
Q

what investigations

A 
BP
FBC
liver functiion
renal 
CTG
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12
Q

what is the management for PET

A

delivery of baby and placenta
close observations
anti hypersentioves

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13
Q

what is the treatment for seizures

A

magnesium sulphate bolus

avoid fluid overload

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14
Q

what is gestational diabetes

A

when a woman without diabetes develops high blood sugars during pregnancy
it reverts to normal after pregnancy

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15
Q

what things have anti-insulin action

A

BhCG

cortisol form placenta

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16
Q

how does fetal hyperinsulineamia occur

A

glucose from mother passes to fetus by placenta

this induces insulin production

17
Q

what does having diabetes increase the risk of

A 
fetal kongenital abnormalities
miscarriage
still birth
shoulder sytocia 
pre-eclampsia
18
Q

what is the management before pregnancy

A

preconception-
better glycemic control
folic acid

19
Q

what is the management during pregnancy

A 
optimise glucose control
could continue metformin may need to change to insulin 
what for ketonuria 
watch fetal growth 
consider c section
20
Q

what are the risk factors for GDM

A

BIMI>30
previous microbic baby
family history

21
Q

what is in virchows triad

A

stasis
hypercoagubility
vessel wall injury

22
Q

what is pregnancy a hypercoaguble state

A 
increased fibrinogen
factor VII
vWB factor
platelets 
decrease in anticoagulants
23
Q

what are increased risks with thrombosis

A 
older mothers
increase parity
PET
haemorrhage 
sickle cell 
previous VTE
24
Q

what is VTE prophylaxis

A

TED stockings
hydration
anticoagulation

25
Q

what are the signs/symtposm of VTE

A

unilateral leg swelling
pain in calf
SOB

26
Q

what are the investigations for a VTEq

A

ECG
blood gases
leg doppler

Reproductive System (30 decks)

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