General Repro Flashcards
what is eclampsia?
generalised tonic clonic seizures
gestational hypertension
new onset BP over 140/90mmHg after 20 weeks gestation
what is pre-eclampsia?
gestational hypertension plus proteinuria
what are some of the factors that make up pre-eclampsia?
gestational hypertension
proteinuria
multi-organ dysfunction
uteroplacental dysfunction
signs and symptoms of pre-eclampsia
headache
blurred vision
hypertension
proteinuria
reduced fetal movements
oedema
chest/epigastric pain
what does nuchal thickening indicate?
down syndrome
what are some of the risk factors of pre-eclampsia?
PR - partner replacement (pregnancy with new partner) E - excess weight (obesity) C - chronic disease (diabetes) L - Little (under 20) A - aged (over 35) M - multiple pregnancy P - past history/ FH
investigating pre-eclampsia
regularly check pregnant womens BP and urine
how do you treat someone with pre-eclampsia while still pregnant?
Labetalol to reduce their blood pressure
what is the only CURE for pre-eclampsia?
delivery of the baby
when does pre-eclampsia develop?
after 20 weeks
how do you test for pre-eclampsia?
Urine dip shows protein elevated
check their protein creatinine ratio
24 hour urine protein collection
abnormal LFTs
Blood pressure
how do you PREVENT pre-eclampsia in a high risk pregnancy?
aspirin
what other organs/ systems might pre-eclampsia effect?
renal
liver
vascular
cerebral
DIC
disseminated intravascular coagulation
