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Year 4 - Womens Health > Pregnancy Induced Conditions > Flashcards

Pregnancy Induced Conditions Flashcards

1
Q

What is pre-eclampsia

A

Prelude to eclampsia, its heavy proteinuria and hypertension.

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2
Q

What is given to reduce the risk of developing eclampsia

A

Magnesium sulphate

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3
Q

How to reduce risk of pre-eclampsia

A

750-150g of aspirin from 12week gestation

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4
Q

When is proteinuria concerning in pregnancy

A

Protein more than +1 in urine

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5
Q

What is CTG

A

Cardiotocography - measures foetal heart rate and contractions

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6
Q

What is a normal foetal HR

A

100-160

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7
Q

What is hypertension in pregnancy?

A

140/90 = hypertension
160/110 = severe

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8
Q

When is antihypertensives offered in pregnancy?

A

BP of140/90

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9
Q

What’s the aim for BP

A

135/85

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10
Q

What is HELLP

A

Haemolysis, elevated liver enzymes, low platelets

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11
Q

What is first line tx for pre-eclampsia

A

Labetalol

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12
Q

Issues with Labetalol

A

Can’t be used in asthmatics

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13
Q

What is defined as chronic hypertension

A

High bp before 20 weeks gestation longstanding and existing, not caused by placental dysfunction

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14
Q

What is gestational hypertension

A

high BP post 20 weeks, no proteinuria

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15
Q

Signs of pre-eclampsia

A

High bP 140/90, proteinruia (+1), maybe oedema

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16
Q

What is eclampsia

A

Seizures as a result of pre eclampsia

17
Q

Cause of pre eclampsia

A

High vascular resistance in spiral arteries and poor perfusion

18
Q

Symtpoms of pre eclampsia 6/7

A

Headache, visual disturbances, nausea and vomiting, epigastirc pain, reduced urine output, oedema and brisk reflexes

19
Q

What’s another sign of preeclampsia?

A

Placental dysfunction told by PLFGR

20
Q

What happens to PLGF levels in pre-eclampsia

A

Low.

21
Q

Second line tx for pre eclampsia or those with asthma

A

Nifedipine

22
Q

When is magnesium sulphate used

A

Manage the eclampsia/prevent eclampsia

23
Q

When is insulin required in gestational diabetes

A

Fasting glucose >7mmol/L
Fasting glucose 6.1-6.9mmol/L and other complications

24
Q

What happens if mmol/L is <7 in women with gestational diabetes?

A

Lifestyle advice and review in 1 week

25
Q

What is OGTT

A

Oral glucose tolerance test

26
Q

When is OGTT used

A

24-28 weeks

27
Q

When is gestational diabetes indicated

A

Fasting glucose >/- as 5.6mmol/L, 2-hour glucose of >/- of 7.8mmol/L

28
Q

What is placenta praevia

A

Low lying placenta either wholly or partially in lower uterine segment

29
Q

How to diagnose placenta praevia

A

Digital vaginal exam, TVUS for more accuracy

30
Q

What grading is there for placenta praevia

A

4 gradings
1. Lower segment but not internal os
2. Internal os but not covered
3. Internal os before dilation but not dilated
4. Internal os completely blocking baby

Year 4 - Womens Health (10 decks)

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