Hypertension In Pregnancy Flashcards
1
Q
Risk essential hypertension to pregnancy?
A
PET
IUGR
Abruption
2
Q
Does pregnancy induced hypertension resolve?
A
Yes, within 6 weeks of delivery
3
Q
Can pregnancy induced hypertension progress to PET?
A
Yes, 15% risk
4
Q
Symptoms of PET?
A
Headache Visual disturbances Epigastric / RUQ pain Nausea/ vomiting Rapidly progressive oedema
5
Q
Risk factors for PET?
A
Age >40 years BMI >30 Family history Nulliparous Previous PET Birth interval >10 years Molar pregnancy/ triploidy
6
Q
What is the cure for eclampsia?
A
Birth
7
Q
Crises in PET?
A
Eclampsia HELLP syndrome Pulmonary oedema Placental abruption Cerebral haemorrhage Hepatic rupture Acute renal failure DIC Cortical blindness
8
Q
What is eclampsia?
A
Tonic-clonic seizures occurring with features of pre-eclampsia
9
Q
Who is eclampsia most common in?
A
Teenagers
10
Q
Management of severe PET/ eclampsia?
A
Control BP - IV labetolol, IV hydralazine
Stop/ prevent seizures - magnesium sulfate
Fluid balance
Delivery - aim for vaginal, epidural, CTG
