Obstetrics - Hypertensive disorder in pregnancy Flashcards
Definition of hypertension and proteinuria in pregnancy
Classification of gestational vs chronic vs unclassified hypertension
Method for measuring BP in pregnancy
Methods to measure proteinuria in pegnancy
Risk factors of hypertensive disorder of pregnancy
Pathophysiology of abnormal placentation
Pathophysiology of placental hypoperfusion and endothelial dysfunction causing pre-eclampsia
End-organ damage due to pre-eclampsia
CVS
Renal
Neurological
Haematological
Liver
Clinical features of pre-eclampsia
Ddx of DIC in pregnancy
Potential fetal consequences of pre-eclampsia
Prevention of pre-eclampsia
- Drug choice
- Indication
- Preparation
- Regimen
Management of pre-existing hypertension during pregnancy
Drug choice
BP target
Fetal monitoring
Diet
Timing of birth
Management of gestational hypertension (Mild, 140/90 - 149/99)
Management of moderate gestational hypertension (150/100-159/109)
Management of severe gestational hypertension (>160/110)
Timing of birth:
NO INDICATION if BP <160/110 or <37w
birth after steroids if refractory severe HT
Subsequent Mx: re-measure BP, stop methyldopa ≤2d of delivery, reduce Rx if BP <130/80
Choice of drug for gestational hypertension
- Stable condition vs emergency condition
- MoA, Route, Onset, S/E
Timing of delivery for pre-eclampsia
Eclampsia
- Definition
- Pathogenesis
- Clinical features
- Diagnosis
Emergency management for eclampsia
Monitoring and nursing care for eclampsia
Management of labor for eclampsia
Anticonvulsant therapy for eclampsia
- drug choice
- Indications
- Regimens
- S/E
Indication for starting MgSO4 in pre-eclampsia
Monitoring during MgSO4 infusion
Antihypertensive therapy for eclampsia
