pregnancy Flashcards
pregnancy stages
40 wks 1st trimester 12 wks organogenesis all organs have formed 2nd 13-28wks maturation nd growth 3rd trimmer - growth and maturation 28-42 wkes
what is the cut off for a viable foetus
28 wks
oral health during pregnancy
hypersalivaiton increase vascuarlity gingival tissue growth altered immune response to bacteria tooth mobility excess of vomiting leading to acid wear
pregnancy gingivtis
aggravated pre existing disease
plaque induced inflammtion
usually resolves after§
pregnancy epulis
Granulomatous/fibrous hormonal response at pre existing site of gingivitis
- often at labial interdental papillary gingiva upper jaw
- usually pedunculated
- associated with plaque
Periodontal disease and adverse perinatal outcome
poor OH and periodontal can lead to
low birth weigjt
pre eclampsia
prematurity and pregnancy loss
prescribing
almost all drugs cross placenta and enter breast milk
highest risk in organogenesis
dependant and neonatal withdraw >28/40
what antimicrobials should be avoided in pregnancy
tetrayclines
augmentin
metronidazole
analgesics in pregnancy
avoid NSAIDS esp after 34 weeks
breastfeeding
take after breast feeding
most milk is made whilst feeding so lowest levels if after
CV system in pregnancy
HR increases CO increases dilution anaemia vasodilation aortocaval compression (should not be laid on back)
risk of what - lungs and GA
mendelsons syndrome
- aspiration pneumonia from GA
