Maternal Diesaes And Pregnancy: Endorcine And Metabolic Disorders Flashcards
What are some endocrine disorders in pregnancy? 3
- Diabetes in pregnancy
- Thyroid disease in pregnancy
- Phenylketonuria (PKU)
Diabetes in pregnancy can be categorized how? 3
- Type 1
- Type 2
- Other (secondary)
What is diabetes?
Problem with carbohydrate metabolism leading to hyperglycaemia or high blood sugar
In terms of diabetes what are the ranges for spontaneous abortion?
15-20%
How many infants are born with congenital abnormalities in terms of diabetes?
5-10%
What is type1 diabetes? 2
- Autoimmune disease
- Immune system attacks and destroys insulin production in pancreas
What is diabetes type 1 also called? What is it formally called?
- Insulin dependent diabetes
- Juvenile onset diabetes
How is insulin controlled during type 1 diabetes?
Synthetic insulin
How does diabetes type 1 affect pregnancy? What will we see? 2
- Hyperglycaemia can disrupt organogenesis
- CARDIAC defects are most commonly seen
During early pregnancy diabeteic control is __________. This _________ the risk of congenital abnormalities.
- Critical
- Decreases
Besides cardia defects what do we see during diabetes type 1? 7
- Brain
- Blood vessels
- Urinary system
- GI tract
- Spine
- IUGR
- Macrosomia
What are some anomalies that the heart is affected by diabetes type 1? 5
- Transposition of great vessels
- Ventricular septal defect
- Atrial septal defect
- Coarctation of the aorta
- Cardiomegaly
What are some anomalies related to the CNS/ spine affected Diabetes type 1? 4
- Caudal regression syndrome
- Neural tube defect
- Anencephaly
- Microcephaly
What are some anomalies the urinary system is affected by diabetes? 3
- Hydronephrosis
- Renal agenesis
- Ureteral duplication
What are some anomalies that GI system is affected by Diabetes type 1? 3
- Duodenal atresia
- Anorectal atresia
- Small left colon syndrome