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Y4R2 - Obstetrics I 🤰 > L5: High Risk Pregnancy > Flashcards

L5: High Risk Pregnancy Flashcards

1
Q

Def of High Risk Pregnancy

A
  • Pregnancy in which mother, fetus or neonate is in jeopardy.
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2
Q

Etiology of High Risk Pregnancy

A
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3
Q

Etiology of High Risk Pregnancy

  • Biochemical Factors
A
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4
Q

Etiology of High Risk Pregnancy

  • Biochemical Factors (Age)
A

< 20 years or > 35 years (specially if primigravida).

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5
Q

Etiology of High Risk Pregnancy

  • Biochemical Factors (Race)
A

Negros should be screened for sickle cell disease

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6
Q

Etiology of High Risk Pregnancy

  • Biochemical Factors (Parity)
A

Grand multiparas (women è ≥ 5 deliveries) are at increased risk

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7
Q

Etiology of High Risk Pregnancy

  • Biochemical Factors (Height)
A

Short stature (affects pelvic capacity).

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8
Q

Etiology of High Risk Pregnancy

  • Biochemical Factors (Weight)
A

Underweight or obesity.

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9
Q

Etiology of High Risk Pregnancy

  • Socioeconomic Factors
A
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10
Q

Etiology of High Risk Pregnancy

  • Socioeconomic Factors (SES)
A

Overcrowding, bad hygiene & poor nutrition.

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11
Q

Etiology of High Risk Pregnancy

  • Socioeconomic Factors (Pregnancy Sparing)
A

Rapid succession of pregnacies

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12
Q

Etiology of High Risk Pregnancy

  • Socioeconomic Factors (Occupation)
A

Occupational hazard

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13
Q

Etiology of High Risk Pregnancy

  • Socioeconomic Factors (Habits)
A

Smoking, alcohol intake or drug abuse

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14
Q

Etiology of High Risk Pregnancy

  • Medical Factors
A

Any maternal medical disease (as essential HTN, DM, heart diseases, renal diseases, severe anemia, hemoglobinopathies & SL

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15
Q

Etiology of High Risk Pregnancy

  • Obstetric Factors (Previous Obstetric Factors)
A

As recurrent abortion, recurrent preterm labor,
recurrent PROM, recurrent stillbirth or precipitate labor

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16
Q

Etiology of High Risk Pregnancy

  • Socioeconomic Factors (Current Obstetric Factors)
17
Q

Identification of high risk pregnancy & assessment of risk

Data of complications in 3, 4 or 5 are analyzed to be considered in subsequent pregnancies

18
Q

Managment Aspects of High Risk Pregnancy

A
  • Preconceptional Counseling
  • Managment During Pregnancy
  • Managment of Delivery
  • Neonatal Care
  • Postnatal Care
19
Q

Managment Aspects of High Risk Pregnancy

  • Preconceptional Counseling
A
  • It is of special importance in the following conditions:
    1. DM.
  1. Rh isoimmunization.
  2. History of recurrent abortion or recurrent preterm labor.
  3. Patients having potential to transfer genetic disorders to their offspring.
20
Q
  • Preconceptional counseling for high risk woman ……. (i.e. the only role of obstetrician is to give medical facts not decisions).
A

shouldn’t be judgmental

21
Q

Managment Aspects of High Risk Pregnancy

  • Managment during Pregnancy
22
Q

Managment Aspects of High Risk Pregnancy

  • Managment during Pregnancy (adequate ANC)
23
Q

Managment Aspects of High Risk Pregnancy

  • Place of ANC
24
Q

Managment Aspects of High Risk Pregnancy

  • Frequency of visits
A

individualized but generally every 2 weeks till 28 weeks then every week till 36 weeks then hospitalize

25
Q

Managment Aspects of High Risk Pregnancy

  • Supervision
A

Pure obstetric problem is managed by obstetrician but medical problems complicating pregnancy need also special physician

26
Q

Managment Aspects of High Risk Pregnancy

  • Observation
27
Q

Managment Aspects of High Risk Pregnancy

  • Observation (Maternal)
A

Observation for development of any complication

28
Q

Managment Aspects of High Risk Pregnancy

  • fetal Observation
A
  • Tests for fetal evaluation (surveillance).
29
Q

Managment Aspects of High Risk Pregnancy

  • Managment of Delivery
30
Q

Managment Aspects of High Risk Pregnancy

  • Obstetric Control
31
Q

Managment Aspects of High Risk Pregnancy

  • Time of Delivery
32
Q

Managment Aspects of High Risk Pregnancy

  • Place of Delivery
A

In well equipped hospital.

33
Q

Managment Aspects of High Risk Pregnancy

  • Method of Delivery
34
Q

Managment Aspects of High Risk Pregnancy

  • Postnatal Care
A

➲ Observation of patient during puerperium.

➲ Contraception.

➲ Advice for good control of the disease before further pregnancy.

Y4R2 - Obstetrics I 🤰 (59 decks)

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