Pregnancy Health Complications Flashcards
first predictor of health, psychological wellbeing, financial security as an adult is
- mother’s health during pregnancy
medical conditions to consider throughout pregnancy
- depression and anxiety
- maternal obesity
- thromboembolism
complications presenting in first trimester
- hyperemesis gravidarum
- UTIs
complications presenting in second trimester
- gestational diabetes
- iron deficiency anemia
complications presenting in third trimester
- preeclampsia
how to take a history from a pregnant woman - PAMPHLETS
P - past medical and surgical history
A - allergies
M - medications, OTC, smoking, alcohol, recreational drugs
P - past obstetric history: outcome of each pregnancy
H - hand held record (orange book)
L - last menstrual period (or dating scan) to confirm gestation
E - events leading to presentation today
T - tests (routine antenatal test results)
S - social history and safety
define perinatal
period of time from when become pregnant to 1 year after giving birth
antenatal care
care received during pregnancy
define prenatal
before birth, during, or relating to pregnancy
[depression and anxiety] % occurrence of perinatal anxiety
18.4%
[depression and anxiety] % occurrence perinatal depression
16.3%
[depression and anxiety] are mental health disorders a common presentation during pregnancy
yes
[depression and anxiety] for mental health presentation during pregnancy, what should you take in the history
- past medical history of mental illness (include care received & if level of impact made & if still on medications) or previous symptoms
(note: if medications are safe during pregnancy) - past obstetric history - is there a history of post-natal depression following previous pregnancies
- recent stressors
- general levels of worry
- antenatal risk questionnaire
- edinburgh perinatal depression score
[depression and anxiety] what are the 2 questionnaires that should be included in a history of a presenting complaint of depression and anxiety in a pregnant woman
- antenatal risk questionnaire (ANRQ)
- edinburgh perinatal depression score (EPDS)
> results put into orange book
[depression and anxiety] what is the difference between antenatal risk questionnarie and perinatal depression score
- antenatal risk questionnaire: looks at previous events and current risks
- edinburgh perinatal depression score: looks at symptoms in past 7 days
[depression and anxiety] are there any tests to be done around anxiety and depression in pregnant women
no
but think of conditions that may exacerbate symptoms eg/ anaemia
[depression and anxiety] what could be offered to a pregnant woman with depression and anxiety
- psychological support and therapy
- medications if needed
[depression and anxiety] what needs to be considered in giving medications to pregnant women with depression and anxiety
- benefit-to-risk; risk of taking medication during pregnancy vs risk of severe mental health issues during pregnancy and post-natal
- pregnancy rating of medications
- beware of: SSRIs
[depression and anxiety] if significant signs of depression, remember to explore if:
- risk of harm to self
- risk of harm to infant
[maternal obesity] obesity is BMI what
greater than 30
[maternal obesity] what does maternal obesity increase risk of:
- dyspnoea (shortness of breath)
- sleep apnoea
- gestational diabetes
- preeclampsia
- large baby (macrosomia)
- maternal trauma during birth (eg/ vaginal tears)
- caesarean birth
- birth defects (cardiac and neural tube)
- childhood obesity (influences development of fat cells in baby and their tendency to continue to store fat as they grow older)
[maternal obesity] what is obesity a product of
- heredity and environment
> consider context, other health issues
[maternal obesity] maternal obesity (BMI >30) is related to significant…
complication rates during pregnancy and births
[maternal obesity] obesity can accentuate dyspnoea, why might pregnant women have SOB already?
in late pregnancy diaphragm can be splintered by uterus
