Maternal Conditions

Question 0

Chorioamnionitis

Answer 0

Fever
Maternal tachycardia (HR >120)
Fetal tachycardia (HR >160)
Purulent amniotic fluid
Uterine tenderness
Maternal leukocytosis (WBC >15)

causes 30-40% of premature deliveries

Question 1

Pre-eclampsia

Answer 1

HTN + proteinuria
>20wks
(normotensive before pregnancy)
IUGR, premature delivery, TCP
leukopenia/neutropenia especially if VLBW
HELLP: hemolysis, elevated lft’s, low platelets)

Question 2

Maternal Diabetes

Answer 2

Increased carbo load&raquo_space; baby hyperinsulinism to maintain normal glucose&raquo_space; hypoglycemia after birth
Macrosomia, LGA, visceromegaly
More frequent hypocalcemia, respiratory distress after birth

Question 3

Oligohydramnios

Answer 3

Causes:
Renal agenesis/dysplasia
Amniotic fluid leak
Can&raquo_space; oligohydramnios sequence