Medical Conditoons In Pregnancy Flashcards
3 risk factors for developing GDM?
Obesity, previous history of GDM, strong family history of DM
4 maternal complications of GDM?
HTN, preeclampsia, increased risk of c section, risk for diabetes later
4 fetal complications because of GDM?
Big baby, hypoglycemia, high bilirubin, birth trauma
There is a direct link between birth defects and what?
Increased hemoglobin A1C.
What is the goal for fasting and two hour post prandial glucose levels?
Below 95
Below 120
How do we make the diagnosis for maternal hyperthyroidism?
Elevated T4 and suppressed TSH
4 fetal affects to baby because of mom having hyperthyroidism?
Hypo with a goiter, prematurity, IUGR, and still birth
Big time maternal effect of hyperthyroid?
Preeclampsia
What corticosteroid do you give in the mix of meds for thyroid storm in pregnancy?
Dexamethasone
6 risks that can develop with hypothyroidism?
Abortion, preeclampsia, abruption, low birth weight, stillbirth, lower intelligence
How can babies get thyrotoxicosis? What is the main symptom with neonatal hypo?
Thyroid stimulating antibodies crosses placenta
Generalized developmental retardation
What is the most common lesion of a pregnant lady with rheumatic heart disease?
Mitral stenosis
What is a big time contraindication for pregnancy ladies in the cardiopulmonary system?
Primary pulmonary HTN
What cardiac arrhythmia is most common in pregnancy ladies, what is good about it, and which 2 arrhythmias are we more worried about?
Supra ventricular tachycardia
A fib and a flutter
What 3 conditions put a lady at risk for developing postpartum cardiomyopathy?
Preeclampsia, HTN, poor nutrition
All pregnant cardiac patients should be co managed by who?
Cardiologist
What is going on with immune idiopathic thrombocytopenia? What effect can it have on baby?
Immunoglobulins attach to moms platelets
Neonatal thrombocytopenia can occur due to placental transfer of the anti-platelet antibodies
5 fetal complications because mom having lupus?
Preterm delivery, fetal growth restrictions, still birth, miscarriage, and neonatal lupus
3 complications of getting antiphospholipid syndrome?
Miscarriage, preeclampsia, and fetal growth restriction
What type of renal failure are we concerned about that has a worse prognosis in pregnant patients and what is the serum marker for it?
Chronic renal failure
Greater than 1.5 to 2 creatinine
Asymptomatic bacteriuria more likely leads to what two conditions in pregnant women and what is the culprit most commonly?
Cystitis and pyelonephritis
E. coli
Pyelonephritis can lead to what two conditions in mom?
Preterm labor and RDS
How do we define hyperemesis gravidarum incidence?
Persistent NV associated with greater than 5% loss of pregnancy weight, ketonuria, and dehydration
What GI disorder is found in over 70% of women?
GERD
What GI condition may improve because of pregnancy and what is the main treatment?
Peptic ulcer
Antibiotics to H pylori
What is mendelson’s syndrome also known as, why do pregnant women get it, and what condition can it lead to?
Acid aspiration syndrome
Delayed gastric emptying and increased ab pressure
Respiratory distress syndrome
What is the concern with Inflammatory bowel disease and pregnancy? What is normal?
Really, everything is normal during pregnancy. Treat the flare ups as normal.
What we are concerned about is if the disease is active during conception, there can be a miscarriage.
Pregnant lady itches her belly, but has no tummy rash or pain, elevated bile acids and liver enzymes, what does she have?
Intrahepatic cholestasis of pregnancy.
What are two associations with ICP?
Oral contraceptives and multiple births
What is a very scary hepatic disorder that pregnant ladies can get? What 4 labs will be elevated?
PT, PTT, bilirubin and liver transaminases
