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Jason's MD3 Women's > Maternal Obesity > Flashcards

Maternal Obesity Flashcards

1
Q

How many women in Australia are overweight?

A

> 50%

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2
Q

Gain too much in preg what happens after preg?

A

Weight retention

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3
Q

Maternal obesity increases risk of

A

Neural tube defects

Exomphalos
Heart defects

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4
Q

Maternal obesity affect neural tube defect detection?

A

Missed in scan
Likely to be on diets
Pre preg Glucose
Less responsive to B12

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5
Q

Macrosomia is?

A

Birthweight >4kg

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6
Q

HTN and Maternal obesity preeclampsia?

A

Every increase in BMI, 8% increase in preeclampsia

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7
Q

VTE risk increased in Maternal obesity ?

A

Nope.

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8
Q

Maternal obesity and onset of labour?

A

Need more induction

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9
Q

Maternal obesity risk of preterm labour?

A

Notreally

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10
Q

Maternal obesity anaesthesia

A

Dosage
Epidural more challenging
GA- risk of death

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11
Q

Maternal obesity labour problems?

A

Poor uterine contractility

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12
Q

Maternal obesity c-section?

A

Harder, more infection, longer stays, higher cost

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13
Q

Maternal obesity lactation?

A

Less likely to commence
Less likely to continue
More likely to have late arrival

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14
Q

Diabetes in Pregnancy Insulin?

A

Pregnancy is diabetogenic

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15
Q

Diabetes in Pregnancy?

A 
Glucose intolerance
More insulin requirements
Nephropathy
Retinopathy
Likely keto
Likely hypos
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16
Q

DM1, consider what in Diabetes in Pregnancy if planning?

A

Laser for retinopathy in pre pregnancy

17
Q

Diabetes in Pregnancy increases risk of what?

A

Pre-eclampsia
DM1 - POlyhydramnios
Miscarriage
Infection

18
Q

Polyhydramnios increase risk of?

A

PPROM, premature labour

19
Q

Diabetes in Pregnancy, congenital abnormality of note:

A

Caudal recession syndrome: small atrophic lower limb

20
Q

Organs of babies Diabetes in Pregnancy?

A

All a bit underdeveloped

21
Q

MEtofrmin safe in preg?

A

Apparently

22
Q

Insulin S safe in Diabetes in Pregnancy

A

Yes

23
Q

Glitazones and sulfonylurea, ACEi and statins safe in preg?

A

Nope

24
Q

What is not safe Diabetes in Pregnancy drugs?

A

Statins
Sulphonylureas
Glitazones
ACEis

25
Q

Diabetes in Pregnancy pre preg to do?

A 
Optimal DM
Review Meds
Other autoimmune conditions such as thyroid, Coeliac
Smoking
More folate
Weight loss
26
Q

Diabetes in Pregnancy antenatal care?

A

Multidisciplary care

27
Q

BSL Diabetes in Pregnancy target range?

A
  • Fasting/preprandial 4.0-5.5mmol/l

- Post prandial

28
Q

If decreasing insulin requirements in later preg in Diabetes in Pregnancy, what could that mean?

A

Placenta not functioning, need delivery

29
Q

Diabetes in Pregnancy Intrapartum care risks?

A

Shoulder dystonia,

birth trauma

30
Q

Diabetes in Pregnancy a lactation, BSLs?

A

Allow mild hyperglycaemia

31
Q

What is Barker Hypothesis?

A

Look it up!

32
Q

Dx of Gestational diabetes?

A

Fasting: >5.1moL/l or
1hr >10mmol/l
2hr >8.5mmol/l

Jason's MD3 Women's (58 decks)

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