medical disorders in pregnancy Flashcards
1
Q
how does pregnancy affect epilepsy
A
- decreased serum drug concentration (enhances metabolisk and inc drug clearance)
- inc volume of distribution of AED
- N&V
- inc incidence of IGUR, cognitive dysfunction, microcephaly, perinatal mortality
2
Q
when should a pregnant women have her AED stopped
A
if not had seizure for 2 years
gradual discont can be attempted
3
Q
when is fetal anomaly scan done
A
18+0 - 20+6 weeks
4
Q
management of pregnant patient in status epilepticus
A
fetal HR
rule of eclampsia
bolus lorazepam
5
Q
maternal outcomes of unmanaged hypothyroid
A
inc risk miscarriage anaemia placental abruption PET PPH
6
Q
neonatal outcomes unmanaged hypothyroid
A
low birthweight preterm deilvery RDS congenital hypothyroid impaired cog development
7
Q
glucose levels of pregnant woman should be
A
fasting 5.3mmol/l
1hr after meal 7.8 or 2hrs after 6.4
8
Q
GDM complications
A
inc risk induction/CS polyhydramnios premature PET neonatal hypoglycaemia inc risk stillbirth develop T2DM postpartum
