Early Pregnancy Care Flashcards
What is Hyperemesis Gravidarum
Persistent and severe vomiting during pregnancy –> W loss, dehydration + electrolyte imbalance
What % pregnancy women get hyperemesis gravidarum?
0.3-0.6%
When does N+V peak in pregnancy?
9 weeks
When does N + V in pregnancy settle by for 90% of women?
week 20
When is the diagnosis of HG made?
Prolonged + severe N + V +
>5% pre-pregnancy W loss
Dehydration
Electrolyte imbalances
Why does HG occur?
Rapidly increasing levels of hCG
RF HG (5)
1st pregnancy Previous Hx HG Raised BMI Multiple pregnancy Hyatidform mole
DDx HG (10)
GE Cholecystitis Hepatitis Pancreatitis Chronic H.pylori infection Peptic ulcers UTI/pyelonephritis Metabolic conditions Neuro condition Dx-induced
Ix HG (7)
W Urine dipstick MSU FBC U/E Blood glucose USS
Mx mild HG (4)
PO Antiemetics
PO hydration
Dietary advice
Reassurance
Mx mod HG (4)
Ambulatory daycare
IV Fl (0.9% saline)
Parenteral anti-emetics
Thiamine
Mx severe HG
Inpt Mx
1st line anti-emetics HG (3)
Cyclizine
Chlorpromazine
Promethazine
What is an ectopic prengnacy?
A pregnancy that has implanted outside the uterine cavity
Why is the incidence of ectopic pregnancies increasing?
More PID cases
