Flashcards in 6 - Obs - Other Medical Disorders in Pregnancy - Mental Illness + Recreational Drug use in pregnancy Deck (10):
Major RF for maternal ?, esp ?
4 main illnesses?
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 ?
dep + mania
Common ?, but up to 3% women ? taking ?. SSRIs eg ?
preferable to ? (v toxic in ?). Paroxetine > ? defects, avoid.
Anxiety Disorders - common and variable - ? > drugs eg ???s
CBT > drugs eg BDZs
Up to 1% women req ? for this. Therapy usually ? due to dangers of ? . Avoid ? and ?.
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
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 ?
SIDS (sudden infant death syndrome)
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 ?
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.
foetal alcohol syndrome