Prenatal And Perinatal Risk Factors-karamursel IMP Flashcards
What is the most common cause of maternal death?
1-hemorrhage
2-hypertention (preeclampsia)
3-sepsis
What are the fetal risks due to gestational diabetes pregnancy?
-Shoulder dystocia(-elduchenne palsy) due to macrosomic baby
-preterm birth
-neonatal hypoglycemia
-risk of type 2 diabetes in baby later in life
What is the definition of chronic hypertension
Hypertension before pregnancy
Or
Hypertension before 20wks of pregnancy
What is gestational hypertension?
Newly onset of hypertension (140/90)
Without proteinuria
What is Preeclampsia?
New-onset of hypertension or worsening of existing hypertension with proteinuria after 20wks of gestation
What is eclampsia?
Advanced stage of preeclampsia: including convulsions (seizures) and proteinuria
What is the treatment of severe preeclampsia(eclampsia) or HELLP syndrome?
Delivery of baby
What is the prevention of eclampsia?
1-Magnesium sulphate IV to prevent seizures (used as prophylaxis preventions and treatment)
2-low dose aspirin
3-corticosteroids
Why do we deliver the baby if there’s severe preeclampsia?
To avoid HELLP syndrome or Eclampsia
What is superimposed preeclampsia?
It is hypertension before and after 20th wks including proteinuria
What is biophysical profile?
Ultrasound test to detect
Fetal tonus
Amniotic fluid
Fetal movement
Fetal breathing
Non-stress test
What is the definition of abortion/spontaneous abortion
It is known as miscarriage; the loss of pregnancy naturally before twenty weeks of gestation. Before 20wks
What is still-birth?
the loss of pregnancy naturally after twenty weeks of gestation.
What is the most common causes spontaneous abortion
Chromosomal abnormalities
Age >35
History of previous spontaneous abortions
Cigarette smoking
What is the def of reccurrent abortion
When there’s 2-3 or more consecutive spontaneous abortion
