Diabetes, abortions, ectopics Flashcards
1
Q
LGA
A
> 4000
2
Q
class B
A
onset of DM at 20+ with duration <10yrs
3
Q
class C
A
onset 10-19 with duration of 10-19 yrs
4
Q
class D
A
onset 20
5
Q
class E
A
overt DM with calcified pelvic vessels
6
Q
DM I
A
uteroplacental insufficiency -> growth restriction
7
Q
GDM
A
any degress of glucose intolerance with onset during pregnancy
dt HPL creating insulin resistance
8
Q
risk factors of GDM
A
increased age and weight previous GDM previous macrosomic infant FHx of DM ethnic
9
Q
blood glucose 1st trimester
A
decreased d/t increased insulin sensitivity and production
10
Q
blood glucose 2nd-3rd trimester
A
insulin sensitivity decreases
11
Q
early pregnancy
A
decreased hepatic glucose storage decreased maternal fasting storage increased B cell hyperplasia and insulin secretion increased glycogen storage increased glucose utilization increased E and P
12
Q
effects of DM on baby
A
macrosomnia hypoglycemia hyperbilirubinemia low Ca and Mg RDS polycythemia hyperviscosity increased risk for obesity increased risk for DMII
13
Q
Acute complications of GDM
A
preterm labor
HTN
preeclampsia
increased risk for DMII
14
Q
Dx GDM
A
fasting glucose <126
random glucose 200
15
Q
interpartum care
A
IV fluids with dextrose
insulin for all DM I and some GDM/DMII
