High Risk Pregnancy Flashcards
psychological factors for high risk pregnancy
Hx of Drug dependence, intimate partner abuse, mental illness
Loss of support person
Poor acceptance of preg
Severely frightened by labor
Inability to participate cause of anesthesia
Illness in newborn
Social Factors for high risk pregnancy
Occupation involving handling of toxic materials Environmental contaminants Isolated Low economic level Poor housing
Physical factors for high risk pregnancy
Pelvic inadequacy Uterine incompetency Secondary major illness Poor gynecologic Obesity Underweight PID
4 checkups ANC
Reg and 1st checkup w/in 12 weeks
14-26 weeks
28-32 weeks
36-40 weeks
High risk conditions of preg not to be missed
Severe anemia (<7mg/dL) PIH, pre-eclampsia GDM Hypothyroid Age <20 and >35 Multiple preg
Warning Signs
Fever Headhache, vision blurring generalized swelling Palpitations Pain in abdomen Vaginal bleeding Reduced fetal movements
intractable vomiting during pregnancy that results in dehydration and electrolyte imbalance
Hyper emesis gravidarum
management of Hyper emesis gravidarum
med: replacement of fluids, electrolytes, and vitamins
NPO for 48 hrs, if improved 6 small feedings, every 2 hrs
Hydramnios: Poly (amount)
more than 2L excess of amniotic
polyhydramnios might cause
Fetal abnormalities- excessive urination
Esophageal atresia
Multiple preg
DM
oligohydramnios (amount and cause)
<500 ml
cause: Fetal renal anomalies
Oremature rupture of membranes
complication of oligohydramnios
Club foot Amputation Abortiona nd stillbirth Fetal growth retardation Abruptio placenta
During labor:
Cord compression
= Fetal hypoxia
Prolonged labor
Risk of syphilis in Pregnancy
Perinatal deaths Congenital syphilis Still birth Spontaneous abort Comorbid like HIV
treatment of maternal syphilis for neurosyphilis
Aqueous crystalline penicillin G 18-24 MU per day for 10-14 days; 3-4 MU IV every 4 hrs or continous IV for 10-14 days
Treatment of maternal syphilis for late latent and tertiary without evidence of neurosyphilis
2.4 MU benzathine penicillin G IM x1 per week for 3 weeks
