High risk pregnancies Flashcards
1
Q
What are the RFs for a high risk pregnancy?
A
o Age <15yo or >35yo
Pre-pregnancy weight under 45kg or obese
o Height under 5 ft (1.5m)
Incompetent cervix
o Uterine malformations
Small pelvis
o Being single
Smoker or alcohol
o Illicit drugs
No access to early prenatal care
o Low socioeconomic status
Previous obs hx for recurrent miscarriages
o Hypothyroid Hyperthyroid
2
Q
What do you do for a high risk pregnancy?
A
o Continued surveillance for high risk patients – more frequent scans
o Offer high dose folate 5mg – also given to…
§ Previous child with NTD
Diabetes mellitus
§ Woman on an anti-epileptic
Obesity
§ HIV positive taking co-trimoxazole
Sickle cell disease
o Offer low dose aspirin (75mg, OD) as prophylaxis for pre-eclampsia
