Other Flashcards
1
Q
Complications of multiple gestations
A
- Preterm labor
- Placenta previa
- Cord prolapse
- SGA
- preeclampsia
- Gestational diabetes
- Cervical incompetence
- postpartum hemorrhage
- congenital abnormalities
2
Q
What markers are elevated in multiple gestations?
A
beta- hCG, human placental lactogen, and maternal serum alfa-fetoprotein
3
Q
How is twin-to-twin transfusion syndrome treated?
A
- serial amnioreduction (reduces preterm contractions secondary to uterine distension and maternal symptoms)
- coagulating the vessels
4
Q
What physiologic changes in pregnancy can contribute to worsening of seizure disorders?
A
increased volume distribution, increased hepatic metabolism and increased renal functioning.
5
Q
What AED are low risk for pregnancy?
A
Lamotrigine, levetiracetam and oxcarbamezepine.
6
Q
Management of epilepsy:
A
- AED monotherapy and low dose.
- folate supplement
- MSAFP, ultrasound and amniocentesis
- Oral vit K 20 mg daily
- genetic counselling
