pregnancy Flashcards
rate of C-section?
30%
smoking is ___ for pre-eclampsia
protective
risks of obesity in pregnancy
- difficult getting pregnant
- Deep Venous Thrombosis, Pulmonary Embolism
- preterm delivery
- C-section
- shoulder dystocia for baby
- stillbirth
- hypertensive disorders
rate of C-section for first birth?
20%
why are babies of diabetic moms big?
baby makes a lot of insulin to combat extra sugar (insulin doesn’t cross the placenta), insulin functions as a growth factor
___ medications are commonly implicated as teratogens
anti-seizure
also warferin/coumadin (blood thinners), ace inhibitors, retinoic acid
“post-term” means
42 weeks
preterm is classified as
20 - 36 wk
term is considered between ___
37- 41 wk
when can you find a heart beat?
6 weeks
current limit of viability for preterm baby is around …
24 wk
low Vitamin D may be associated with __
still birth, pre-term
how much more do you need to eat to support a fetus?
300-400 kcal
how much weight should you gain?
25 lbs
what medication is used to treat ectopic pregnancies?
Methotrexate, a chemotherapy agent
a common cause of a large gestational sac with nothing you can see is:
twins
tocolytics
medications used to suppress pre-term labor
preterm labor is responsible for what % of preterm deliveries?
45%
leading cause, then ob intervention for maternal/fetal issues 30%
preterm premature rupture of membranes (PPROM) is responsible for what % of preterm deliveries?
25%
if premature membrane rupture happens prior to ___ weeks, expectant management is recommended
34 weeks
placenta abruption
premature separation of a normally implanted placenta
eclampsia is the presence of new-onset ____ in a woman with preeclampsia
grand mal seizures
___ may actually extend the length of gestation/ prevent premature birth
obesity
placenta previa
placenta implants in lower prt of uterus, covers cervix, emergency
pprom vs prom
- preterm premature rupture of membranes (prior to 34 wk)
- - premature rupture (> 1 hr bf labor)
FGR
fetal growth restriction – estimated weight is
smoking during pregnancy
birth defects, stillbirth, sudden infant death
FGR, prematurity
Fetal alcohol syndrome
FGR
microencephly
CNS abnormalitis
facial abnormalities
Pre eclampsia
hypernsive disorder of pregnancy
BP»_space;> 140/90 after 20wk of gestation
leading cause of maternal and perinatal morbidity and mortality
pre-eclampsia
critical time for drug teratogen effects on fetus
3-8 wk –> organ malformation
before this abortion, after this funcitonal issues
G, T-P-A-L =
Gravida (total # of pregnancies), Term births-Preterm births-Abortions/Miscarriages-Living children
