Medical Complications in Pregnancy Flashcards
1
Q
what is APLS?
A
acquired thrombophilia that produces autoantibodies thatreact to phospholipid component of the cell membrane
2
Q
presentation of APLS
A
arterial/ venous thrombosis recurrent pregnancy loss placental abruption early onset PET early onset FGR
3
Q
diagnosis of APLS
A
IgM/IgG aCL and LA >6 weeks apart
4
Q
management of APLS
A
aspirin + LMWH
5
Q
seizures in pregnancy
A
- Intra-partum= BZDs
- If no seizure history, then give magnesium sulphate (eclampsia)
- Safety post-natally e.g. avoid fatigue, safe feeding, bathing, pram brake
6
Q
what is obstetric cholestasis?
A
disorder of the liver that causes build-up of bile acids
7
Q
presentation of obstetric cholestasis
A
itch without rash
jaundice
8
Q
weekly monitoring of what in obstetric cholestasis?
A
LFTs
bile acid
USS
9
Q
management of obstetric cholestasis
A
emollients
antihistamines
ursodeoxycholic acid
vitamin K
10
Q
when to induce obstetric cholestasis
A
offered at 37 weeks
11
Q
why does obstetric cholestasis increase the risk of PPH?
A
vitamin K malabsorption
