Obstetrics - Pre-Eclampsia Flashcards

1
Q

Pre-Eclampsia?

What is it?

A

Multisystem disorder charcterised by four factors:

  • Hypertension>140/90
  • Occurs after 20 weeks
  • Proteinuria >0.3g/24hours
  • Nrmalises after delivery
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2
Q

Pre-Eclampsia?

Causes?

A

Extremes in age

Nulliparity

Multiple pregnancy

New partner

Past history of pre-eclampsia

High maternal BMI

Previous hypertension

Previous renal disease

Previous DM

Interval between pregnancies > 10 years

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3
Q

Pre-Eclampsia?

Symptoms?

A

May be asymptomatic

Headache

Visual disturbance

Abdominal pain (RUQ) or epigastric

Nausea and vomitting

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4
Q

Pre-Eclampsia?

Investigations?

A

Monitor fetal distress (CTG)

Bloods FBC, U&E, LFT, glucose screening for HELLP syndrome, uric acid level

BP

Urinalysis: Proteinuria

Neurology exam: hyperflexia, clonus,

Fundoscopy: papilloedema

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5
Q

Pre-Eclampsia?

Treatment?

A

Follow NICE guidelines:

  • Conservative: Patient education/Regular BP monitoring

Medical:

  • Labetalol 1st line
  • Nifedipine and hyralazine
  • Magnesium sulphate used to preven seizures
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6
Q

Pre-Eclampsia?

Complications?

A

Fetal:

  • Intrauterine growth restrictions
  • Premature delivery

Maternal:

  • Eclampsia
  • HELLP syndrome
  • Cerbral Hemorrhage
  • Intra-abdominal hemorrhage
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