Fun Facts Flashcards
Diabetogenic hormones
GH
Human placental lactogen (HPL)
Progesterone
Corticotropin releasing hormone
Risks and complications of DM
Loss and stillborn
Vascular
Macrosomnia and shoulder dystocia
HTN
Polyhydraminos
Infections
Anomalies
Normal BMI
18.5 to 24.9
Obesity complications
IUFD (fetal demise)
Abnormal labor
Augmentation of labor
CS (with more risks of infection, DVT, long operation, more bleeding, harder to administer anesthesia)
DVT
PTB (preterm)
DM and HTN/preeclampsia
Total yearly DM pregnancies
200,000
Most common pregnancy complication
HTN (5 to 10%)
HTN effects on fetus
IUGR/low birth weight
Decreased amniotic fluid
Preterm
Abnormal fetal oxygenation
Typical timeframe for hyperemesis
Weeks 4-20
1st trimester hemorrhagic disorders
Miscarriage
Ectopic
Molar
3rd trimester hemorrhagic disorders
Placenta previa
Placenta abruption
Complications of placenta previa
Bleeding
Accrete/increta/percreta
Preterm
DIC most common in…
Abruption
Retained dead fetus
Primary cause of mom death in first trimester
Ectopic pregnancy
Primary risk factor for ectopic pregnancy
C section
Complications of preterm for baby
RDS
Neuro
Feeding
Probable PTL causes
Infection
Distention (twins, hydraminos)
Bleeding
SDOH (poverty, stress, no support)
More RF: African American, fibroid hx, UTI hx, smoke, low RBC/H&H
Normal CL
Greater than 20mm
When is a cervical cerclage performed
W12-14
Then taken out at 37w
Pre embryonic period
Fertilization through first 2 weeks
Zygote period
Embryonic period
W3-8
Highly vulnerable to teratogens
Fetal period
W8-40
Fetus viable at…
W23-24
Placental hormones
HCG
Estrogen
Progesterone
HPL
Relaxin
HCG function
Stimulates progesterone and estrogen production
Estrogen function
Increases vascularity
Progesterone function
Maintains pregnancy
HPL function
Increase glucose availability
Relaxin function
Relaxes! (the uterus, CT, pelvis)
Placenta functions and tidbits
Metabolic exchange (respiration and nutrition)
Excretion
Storage
Filters
Covers half of uterine surface
Function depends on mom BP
Provides hormones
Transfers immunity
Normal amniotic fluid amount
800-1200mL
Oligohydraminos
<300mL
Polyhydraminos
> 2000mL
Components of amniotic fluid that determine fetal lung functioning
Lechithin
Sphingomyelin
Functions of amniotic fluid
Cushions
Allows movement and growth
Avoids baby tangling
Maintains body temp
Drink and pee
On which day does implantation occur?
Day 6
When can fetus respond to sound?
W24
Multi factorial inheritance
Cleft
Heart disease
Neural tube (spina bifida)
Pyloric stenosis
Autosomal dominant examples
HD
Factor 5
Marfan, dwarfism
Neurofibromatosis tumors
Autosomal recessive examples
Sickle
Cystic fibrosis
Tay sachs
Normal weight gain for pregnancy
25 to 35 lbs
Normal BMI
18.5 to 24.9
Listeria can come from…
Cheese
Unpasteurized milk
Deli meats
Store made salads
Iron rich foods
Dark green leafy
Dried fruits
Peanut butter
Whole grains
Legumes
Meats
Cereals
Bean dip
Take vitamin C for absorption
Calcium foods
Dairy and sardines
RF pica
African American
Hispanic
Low hemoglobin
Naegel’s rule for due date
First day of LMP - 3 months + 7 days
When can fetus hear and respond to sound?
W24
In this week, lungs are shaped, fetus swallows
W16
RF ectopic
Uterine scarring from CS, infections, PID
Multiple gestation can lead to…
Preeclampsia
Preterm
Polyhydraminos
Hyperemesis
Anemia
Hemorrhage
RF preeclampsia
Multiple gestation
Family history
What’s the Hegar sign?
Softening of lower uterus
Food sources for folic acid
Broccoli
Spinach
Beans
Citrus
Liver
Romaine
Peanuts
Low mercury fish
Canned tuna
Salmon
Pollock
Catfish
Shrimp
Weight gain for underweight woman
28 to 40 lbs
Weight gain for overweight
15 to 25 lbs
RF placenta previa
Multiple gestation
Smoking
Vascular disease
