Pregnancy Induced Conditions Flashcards
What is pre-eclampsia
Prelude to eclampsia, its heavy proteinuria and hypertension.
What is given to reduce the risk of developing eclampsia
Magnesium sulphate
How to reduce risk of pre-eclampsia
750-150g of aspirin from 12week gestation
When is proteinuria concerning in pregnancy
Protein more than +1 in urine
What is CTG
Cardiotocography - measures foetal heart rate and contractions
What is a normal foetal HR
100-160
What is hypertension in pregnancy?
140/90 = hypertension
160/110 = severe
When is antihypertensives offered in pregnancy?
BP of140/90
What’s the aim for BP
135/85
What is HELLP
Haemolysis, elevated liver enzymes, low platelets
What is first line tx for pre-eclampsia
Labetalol
Issues with Labetalol
Can’t be used in asthmatics
What is defined as chronic hypertension
High bp before 20 weeks gestation longstanding and existing, not caused by placental dysfunction
What is gestational hypertension
high BP post 20 weeks, no proteinuria
Signs of pre-eclampsia
High bP 140/90, proteinruia (+1), maybe oedema
What is eclampsia
Seizures as a result of pre eclampsia
Cause of pre eclampsia
High vascular resistance in spiral arteries and poor perfusion
Symtpoms of pre eclampsia 6/7
Headache, visual disturbances, nausea and vomiting, epigastirc pain, reduced urine output, oedema and brisk reflexes
What’s another sign of preeclampsia?
Placental dysfunction told by PLFGR
What happens to PLGF levels in pre-eclampsia
Low.
Second line tx for pre eclampsia or those with asthma
Nifedipine
When is magnesium sulphate used
Manage the eclampsia/prevent eclampsia
When is insulin required in gestational diabetes
Fasting glucose >7mmol/L
Fasting glucose 6.1-6.9mmol/L and other complications
What happens if mmol/L is <7 in women with gestational diabetes?
Lifestyle advice and review in 1 week
