Numbers 6 Flashcards
Prevalence epilepsy in pregnancy
0.5-1%
% seizure free in pregnancy
74-92%
Risk of SGA/FGR increases by how much with AEDs
3.5x higher
Contraception safe with AEDs
Copper, LNG-IUS, MPA injections
Lamotrigine can reduce oestrogen containing contraception levels by
25-70%
% headaches that are primary
10%
% headache after accidental dural puncture
70-80%
Cure rate of blood patch for epidural headache
60-90%
Migraine increases risks by:
PET
MI
Stroke
2 fold
4 fold
17 fold
Incidence of cerebral venous thrombosis
1:2500-10,000
Incidence Idiopathic intracranial hypertension
1: 100,000
19: 100,00 obese
Baseline HR and BP in SCI
40-50bpm
BP 80/50mmHg
% worsening spasticity in SCI
12%
Level SCI contractions felt
T10
Level SCI cervical dilatation felt
T11-12
Level SCI feel perineal/vaginal sensation
L2-L4
% haemorrhagic strokes in pregnancy
40-50%
ICH
% abnormal thymus in MG
15%
% Neonatal MG
9-20%
% women with carpal tunnel syndrome
25%
UK vertical transmission rate of HIV
- 2%
0. 8% if ARV
UK incidence HIV
2:1000
Risk HIV transmission if HIV on HAART
<2%
% pregnant women immune to to parvovirus
50%
Hep B incidence UK
1:1000
Hep C transmission to babe
1:20 births
Maternal mortality of Eisenmenger
20-40%
Risk of rupture if aortic root >4cm
10%
1% if <4cm
IHD accounts for how many cardiac deaths?
1/3
% peripartum cardiomyopathy associated with HTN
25%
% MI immediately postpartum
50%
% POTs who feel better during pregnancy
60%
% POTs who are worse during pregnancy
20-30%
% severe vomiting and hyperemesis in 1st trimester POTs
50-60%
left anterior descending coronary artery accounts for % of coronary artery dissection
80%
Mortality of coronary artery dissection
30-40%
How long to delay delivery by if MI
2-3 weeks
PEFR in acute severe asthma
33-50%
% varicella pneumonia affects pregnant women
10%
ARDS mortality
25%
% who deteriorate with severe asthma
60%
% asymptomatic bacteriuria develops urinary sepsis if untreated
40%
% urinary sepsis that have relapse bacteriuria
30%
% of pyelonephritis that have bacteraemia
15-20%
% pyelonephritis recurrence
20%
% good outcome in mild/mod renal disease (creat <250)
90-96%
% good outcome in severe renal disease (creat >250)
51%
% pregnancies going beyond 1st trimester in renal allografts
70%
% postpartum pemphigoid flare
75%
% acute fatty liver recurrence
25%
% hypogonadotrophic hypogonadism in beta thalassaemia
66%
Incidence vasa praevia in IVF
1: 300
1: 6000 BG
Placenta praevia rate increases in IVF by…
3 fold
% twins delivered <28/40 if CL at 20/40 is 22mm
25%
POTs has persistent increase in HR by
30bpm
Risk of cleft clip with high dose steroids in first trimester
0.3%
Incidence of acute fatty liver of pregnancy
1:7000-15,000
AFLP recurrence
25%
HELLP recurrence
19-27%
Hepatic adenoma - lifetime risk of haemorrhage
27%
50% mortality
Hepatic adenoma - lifetime risk of rupture
17%
CLD and splenic artery aneurysm rupture rate
20%
70% in 3rd trimester
70% mortality rate
Liver transplant live birth rate
77-91%
Wait 1 year before conception
% liver transplant graft loss in first 2 years after pregnancy
11%
How many women with gallstones in pregnancy develop acute cholecystitis?
33%
Incidence SLE
1:1000
Risk early onset PET in lupus + eGFR <90, raised BP and proteinuria at booking
28%
vs 16% just SLE
Lupus nephritis and risk of PTB
30-40%
Lupus nephritis and risk of FGR/SGA
16%
Incidence of lupus flares in pregnancy
13-65%
% SSA/Ro and SSB/la antibodies in Sjogren’s
70-80%
% rash in neonatal lupus
10-25%
Congenital heart block in lupus
2%
Congenital heart block in lupus + previous affected child
16-18%
Incidence RA
1:2000
Incidence PGP
16-25%
1:36-300
Recurrence PGP
65-85%
% psychiatric disease in pregnancy
and how many severely affected?
20%
3-5% severely affected
PN blues
50-80%
PND
13%
50% develop antenatally
Antenatal depression
11%
Depression relapse
40%
% women who have depression up to 1 yr postnatally
30%
Severe PND
3%
Risk of PND if major depression Hx and FHx
42% (15% without FHx)
Recurrence PND
1:2-3 pregnancies
% of bipolar that have postpartum pyschosis
20-30%
Postpartum pyschosis
1-2:1000
Risk of suicide in postpartum pyschosis
2:100
% bipolar that have PP psychosis if previous psychosis
50%
% bipolar that have PP psychosis if FHx
74%
% women with postpartum psychosis who have delusional ideas about babe
74%
Number of women who died by suicide and had previous psychiatric history
2/3
Number of women who died by suicide and had previous bipolar disorder or psychosis
1/3
% women with eating disorders who have difficulties bonding with babe
90%
% women who conceive after myomectomy assuming no other fertility factors
67%
Risk of uterine rupture during pregnancy after laparoscopic myomectomy
1.2-6.8%
% ectopic beats and non-sustained arrythmia in palpitations in pregnancy
50%
Incidence of shoulder dystocia
0.5-0.7%
Incidence of PPH with shoulder dystocia
11%
Incidence of 3rd/4th degree tear with shoulder dystocia
3.8%
Incidence of brachial plexus injury with shoulder dystocia
2.3-16%
Recurrence shoulder dystocia
1-25%
All fours position success for shoulder dystocia
80%
Incidence of cord prolapse
0.1-0.6%
Incidence of cord prolapse in breech
1%
Delayed cord clamping gives how much extra blood to babe?
80-100ml
% of abruptions in low risk pregnancies
70%
Recurrence with 1 previous abruption
4%
Placenta praevia OR with 1 previous CS
2.2
Placenta praevia OR with 2 previous CS
4.1
Placenta praevia OR with 3 previous CS
22.4
