Pregnancy 101 - SDR module Flashcards
2014 GUSOM - Dr. Wulf- Gutierrez - Pregnancy 101 *used for educational purposes for med students, not for mothers-to-be*
Fetal growth restriction - definitions
- Small for gestational age (SGA) or FGR - in <10% of weight for gestational age
- macrosomia or large for gestational age (LGA) - >90% weight for gestational age
smoking in pregnancy has been associated with
- congenital anomalies
- intrauterine growth restriction (IUGR)
- fetal growth restriction (FGR)
- prematurity
- stillbirth
- suddent infant death
risk of obesity in pregnancy
- difficulty getting pregnant
- gestational diabetes
- shoulder dystochia
- hypertensive disoders
- DVT, PE
- preterm delivery, C-section
Abortion definition
any pregnancy loss before 20 weeks
preterm early term full term late term post term
between 20 weeks and 30 wk 6 days 31 week to 36 wk 6 d 37 week to 38 wk 6 d 39 week to 41 week 6 d 42 week +
1st trimester
2nd trimester
3rd trimester
0 to 14 weeks
14 to 28 weeks
28 weeks to 41 wk 6 days
nutrition recommendation
folic acid 800 mg calcium iron vit d proteins
foods to avoid
alcohol unpasteurized food, soft cheese raw, undercooked meats, hot dogs, deli meets salads from the story mercury containing food
3 complications in 1st trimester
- PUL: pregnancy of unknown location
- missed abortion/blighted ovum: lost pregnancy
- ectopic
7 complications of 2nd/3rd trimester
- preterm labor/delivery
- PPROM
- placenta previa
- placenta abrupto
- hypertensive disorders
- gestational diabetes
- FGR
3 causes of preterm delivery
preterm labor
PPROM
obstetric intervention (due to complications seen in 2nd/3rd trimester)
1) Gestational hypertension
2) Preeclampsia - Eclampsia
3) Chronic HTP with Superimposed preeclampsia
1) elevated BP with 2 readings more than 4 hours apart
2) same as above with other symptoms:
- low platelet count
- impaired liver function
- new development of renal insufficiency
- PE
- new onset cerebral or visual disturbances
3) same as above, but HTN was there before pregnancy or prior to 20 wk gestation