6 - Obs - Other Medical Disorders in Pregnancy - Mental Illness + Recreational Drug use in pregnancy Flashcards Preview

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Flashcards in 6 - Obs - Other Medical Disorders in Pregnancy - Mental Illness + Recreational Drug use in pregnancy Deck (10):
1

Mental illness.
Major RF for maternal ?, esp ?
4 main illnesses?

death, suicide

BAD
depression
anxiety disorders
schizophrenia

2

BAD - ?% women. ? common. Episodes of ? and ?, can have ? Sx, may present ?. ? freq used, ass w incr risk ? defects, but discontinuation risks ?. Usually stopped in well/? risk women. If continued monitor levels due to incr ?. High risk of maternal ? and postnatal ?
important.

1%
FHx
dep + mania
psychotic
postnatally
lithium
cardiac
relapse
low
clearance
suicide
meds

3

Depression -
Common ?, but up to 3% women ? taking ?. SSRIs eg ?
preferable to ? (v toxic in ?). Paroxetine > ? defects, avoid.

postnatally
conceive
antidepressants
fluoxetine
TCAs
OD
cardiac

4

Anxiety Disorders - common and variable - ? > drugs eg ???s

CBT > drugs eg BDZs

5

Schizophrenia -
Up to 1% women req ? for this. Therapy usually ? due to dangers of ? . Avoid ? and ?.

meds
continued
relapse
clozapine
olanzapine

6

Recreational drugs - illegal drugs - These women vulnerable ? and ?. Incr risk of: ?, ?/Hep C, maternal ?. MDT preg care inc ? support. Newborn may be subject of ? ?
Consider preg ? risk, esp cause of ???? and ? delivery.

personally and socially
STIs
HIV
death
social
care order
high
IUGR
preterm

7

Opiates: Not ? , but ass w ?deliv, IUGR, ?, dev ? and SIDS. ? maintenance advised, don’t ? as fetus can have severe withdrawal -> ?.
Cocaine: Prob terat, can -> ?
impairment, esp ass w ????and abruption, can cause ?
deliv, stillbirth and ????. Counsel ?, social support and preg ?

teratogenic
preterm
stillbirth
delay
methadone
withdraw
convulsions
intellectual
IUGR
preterm
SIDS (sudden infant death syndrome)
risks
monitoring

8

Ecstasy: is ? , incr risk of ?
defects and ?. Preg compx sim to ?, counsel and social support.
BDZs: Ass w facial ?, neonatal ? and ? Sx.
Cannabis: May cause ???? and affects later childhood ?

teratogenic
cardiac
gastroschisis
cocaine

clefts
hypotonia
withdrawal
IUGR
dev

9

Legal drugs - avoid alcohol esp in first ? weeks as can cause ?
higher levels -> incr risk of ???? and birth ?
Alcohol abuse in preg : incr these risks and ass w ???. ?abnormalities, IUGR, ? or abnormal brain, ? delay (w confirmed alcohol exposure >18units/day).
Alcohol Spectrum disorder: Advice and social support, ? to monitor fetal growth.

12
miscarriage
IUGR
defects
foetal alcohol syndrome
facial
small
dev
USS

10

Legal drugs - Tobacco
: Related to ? class, ? (a fraction) women smoke in preg, 1/10th of pregs exposed to env smoke. Prob not ?, but ass w incr risk of ?, ????, ?birth, ? abruption, stillbirth and ?. Also ass w ? illnesses. Pre-eclampsia less common but more ? if it occurs. Encourage to stop or cut down, ? > smoking. ? risk preg

1/3
teratogenic
miscarriage, IUGR, preterm, placental, SIDS
childhood
severe
NRT
high

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