Pregnancy and extragenital diseases Flashcards
diabetes effect on baby
malformations Lung problems macrosomia hyperbr polycthemia cardiomyopathy - hypertrophic
risk of diabetic mother
uti vaginal infections diabteic neprho diabtic retino preclamsia gastroparesis
protocol for diabetic mothers who are OG’S
34 weeks- hospital admission offered to all diabetic mothers
Delivery planned at 38 weeks
Labour induction attempted if foetus not considerably large and cervix favourable
screening for gestational diabetes
24 - 28 weeks
NB FOR TREATMENT OF MOTHER
Oral agents NOT used in 1st trimester - risk of hypoglycemia – use after 13-20wks
general advice for diabetic mother delivery
be advised to deliver early to avoid sitll birth,
delivevry options
C-s: if macrosomia and hence risk of shoulder dystocia
if fetus in vertex postion and good size then can deliver vaginally
tx of graves disease
propylthiouracil - prevents the synthesis of thyroid
hormones and conversion of t4-t3 can also cross placenta and cause fetal hypothyroidism
methimazole - aplasia cutis
bb - control tachycardia
CI in graves disease
radioactive iodine as can cross placenta and damage fetal thyroid
normal cardiac findings that are physiological that can be mistaken for heart disease
Palpitation - functional systolic murmurs
Fatigue, dyspnea, edema of lower extremities
Enlarged cardiac silhouette on CXR
patholifcal signs of of CVS
Diastolic murmours
loud systolic murmour
get tired very easily
syncope with exertion
which valve defect is pregancy unaacetable
aortc insuffiency
diagnosis fo DVT
dopppler US
BUT VENOGRAPHY IS GOLD STANDARD
TX OF CMV
ganiclovir, and vaganclovir
