Pregnancy Flashcards
Is there benefit in delivering baby by C-Section in ITP of pregnancy
No. no increased risk of maternal or fetal bleeding based on delivery method
Treatments to avoid in ITP of pregnancy
Rituxan, eltrombopag, and rompiplostim (all category C)
What is risk of steroid use in first trimester of pregnancy?
Cleft palate in fetus
Pregnant patient presents with DIC, Diabetes insipidus (high sodium), and hypoglycemia. What is diagnosis?
Acute Fatty Liver of pregnancy
How long must you continue checking VWF panels in pregnant patients with VWD
3 weeks post partum.
When is plasmapheresis indicated in Eclampsia?
When there is a high LDH, that is when it is behaving most like TTP
How do you differentiate between HELLP and Preeclampsia?
Preeclampsia has proteinuria
Causes of DIC in Pregnancy (5)
Preeclampsia Retained fetal products Placental abruption Amniotic fluid embolization Acute Fatty liver of pregnancy
Pregnancy Scenario:
Prior provoked VTE
Antepartum Rec: ______
Postpartum Rec: _______
Antepartum Rec: Close observation
Postpartum Rec: VTE ppx
Pregnancy Scenario:
Prior unprovoked VTE, no thrombophilia
Antepartum Rec: ______
Postpartum Rec: _______
Antepartum Rec: VTE ppx or obs
Postpartum Rec: VTE ppx
Pregnancy Scenario:
Hx of VTE and thrombophilia
Antepartum Rec: ______
Postpartum Rec: _______
Antepartum Rec: VTE ppx
Postpartum Rec: VTE ppx
Pregnancy Scenario:
No prior VTE but known thrombophilia
Antepartum Rec: ______
Postpartum Rec: _______
Antepartum Rec: VTE ppx or obs
Postpartum Rec: VTE ppx
How do you AC pregnant woman with prosthetic heart valve?
Use unfractionated heparin. Both Lovenox and unfractionated heparin have risk of breakthrough thrombosis but coumadin is teratogenic
How do you cytoreduce pregnant patient with P. vera?
HCT goal?
IFN and phlebotomy, NOT hydrea
Goal <37%
