Pregnancy, Labour & Birth Complications Flashcards

1
Q

3 serious maternal health complications affecting pregnancy and postpartum

A
  1. Hypertensive disorders
  2. Venous thromboembolic conditions
  3. Postpartum hemorrhage
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2
Q

What is the acronym which describes prenatal hypertension/preeclampsia?

A

HELLP (Hemolysis, Elevated Liver enzymes and Low Platelets)

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3
Q

When can preeclampsia and eclampsia occur?

A

Can occur in pregnancy or present after birth, especially in the first 24-48 hours and up to two weeks postpartum.

Postpartum blood pressure peaks between 3-5 days.

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4
Q

Describe classic presentation of pre eclampsia

A

high blood pressure, visual disturbances, headaches, proteinuria, epigastric pain or vomiting, liver tenderness, signs of clonus. (Note that sometimes the only symptom is a vague feeling of being unwell)

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5
Q

What is the risk of venous thromboembolism in pregnancy compared to non pregnant population?

A

5-10 times higher risk in pregnancy

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6
Q

Which pregnant individuals are most at risk for DVT?

A

Smokers, BMI greater than 30, sedentary, gross varicose veins, dehydrated (hyperemesis)

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7
Q

Define Post partum hemorrhage

A

Blood loss of more than 500ml following vaginal delivery, severe PPH more than 1000ml

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8
Q

primary PPH vs secondary PPH

A

primary: first 24 hours postpartum
secondary: up to 6 weeks postpartum

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9
Q

Risk factors for PPH

A

antepartum bleeding, iron-deficiency anemia at the end of pregnancy, uterine atony

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10
Q

Four T’s which describe cause of PPH

A
  1. Tone (poor uterine tone)
  2. Tissue (retained products)
  3. Trauma (Lacerations of the genital tract)
  4. Thrombin (disorders of coagulation)
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11
Q

When can Sheehan’s syndrome occur?

A

After massive PPH that affects blood flow to the pituitary

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12
Q

What happens in Sheehan’s syndrome?

A

Atrophy of the pituitary can affect production of prolactin, negatively impacting milk production

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13
Q

Name of CDC campaign to increase public awareness of maternal health warning signs in pregnancy and first year postpartum

A

Hear Her

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