Maternal and Fetal Health Flashcards
“embryo” is from ___ to ___, “fetus” is from ___ to ___, “neonate” is from ___ to ___
conception; 10 weeks gestation; 10 weeks gestation; birth; birth; 28 days after birth
define maternal mortality ratio
number of maternal deaths in a population per 100,000 live births in the same population during a given period
define neonatal mortality rate
number of neonatal deaths per 1000 LIVE births
define perinatal mortality rate
number of neonatal deaths plus fetal deaths per 1000 TOTAL births
changes in glucose metabolism during pregnancy
higher circulating glucose in fed state, hyperinsulinemia, insulin resistance
changes in lipid metabolism during pregnancy
lipid catabolism is accelerated, hypertriglyceridemia, hyperlipidemia
fetal outcome of gestational diabetes
macrosomia, polyhydramnios, neonatal hypoglycemia (due to hyperinsulinemia), long term risk of metabolic disorders
what vaccinations should be updated during preconception?
chickenpox (varicella), German measles (rubella), hepatitis B
why is there increased circulating TBG during pregnancy?
pregnancy-associated increase in estrogen causes decreased clearance of TBG
increased production of T3/T4 during pregnancy is partly due to stimulation of TSH receptor by ___ from the placenta
hCG
dx: goiter during pregnancy
hypothyroidism caused by iodine deficiency
what 2 conditions are caused by excess hCG in the mother?
gestational hyperthyroidism and hyperemesis gravidarum
hemodynamic adaptions in pregnancy
increased capacity and decreased resistance
medication used for fetal lung maturation
betamethasone
seizure prophylaxis in expectant mothers with pre-eclampsia; serious side effects of this medication
magnesium sulfate; decreased tendon reflexes, respiratory depression
