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
Risk for hypothyroidism in preg
Recurrent pregnancy loss Miscarriage Stillbirth Incidenc of pre eclamp and AP IUGR preterm deliv
Screening for hypothyroidism in preg
Loc with severe iodine insufficiency
Obesity
Hx of Mental retardation, recurrent miscarriage and infertility
trimester-specific levels for TSH
1st - 0.1-2.5 mlU/I
2nd - 0.2-3ml/I
3rd - 0.3-3 ml
drug of choice in the morning with empty stomach for hypothyroidism
Levothyroxine Sodium
Risks for previous caesarean sections
Uterine rupture
Placenta previa
Bladder Discomfort
Anemia grouped
Mild (10-10.9)
moderate (7-9.9
severe <7
commonest type of anemia
Iron deficiency anemia
Complication of anemia during preg
cardiac failure susceptibility to infections Preterm labor PPH DVT IUGR Anemia of newborn
prophylaxis management of anemia
IFA 100 mg once daily for 180 days
Management for severe anemia
anti Helminthic drugs
Indication for parenteral iron therapy
Poor absorption
non compliance
Moderate to severe anemia in late preg
