endocrinolgy and pregancy Flashcards Preview

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Flashcards in endocrinolgy and pregancy Deck (16):
1

what hormone does the corpus luteum secrete?

progesterone

2

what hormones does the placenta secrete?

human placental lactogen
placental progesterone
placental osetrogen

3

what do progesterones and hPl cause in a mother?

insulin resistance

4

name some thing which could happen to a baby of a diabetic mother?

spina bifida
caudal regression syndrome
ureteric duplication
resp distress syndrome
hypoglycaaemia
hypocalcaemia

5

when does the foetus produce its own insulin?

3rd trimester

6

what supplements should a diabetic mother take?

folic acid

7

what should a mother take for hypertension with pregnant?

labetalol

or nifedipine
methyldopa

8

how do prevent diabetes after GDM?

keep weight as low as possible
healthy diet
aerobic exercise
metaformin?
annual fasting glucose

9

in pregnancy what happens regarding the thyroid?

there is increased demand on the thyroid so it increases in size and produces more T4 just to maintain normal concentrations

10

plasma protein binding increases during pregnancy.. true or false?

true

11

how do you treat hypothyroidism in pregnancy?

increase thyroxine dose by 25mcg as soon as pregnancy is suspected

12

how do you treat hyperthyroidism in pregnancy?

wait and see

B blockers if need be

LOW DOSE antithyroid drugs-carbimazole 2nd and 3rd trimester

propylthiouracil 1st trimester

13

when should carbimazole be given in pregnancy?

2nd /3rd trimester

14

when should propylthiouracil be given in pregnancy?

1st trimester

15

why do you need to check for TRAb antibodies during pregnancy?

because if present they can cross the placenta and cause neonatal transient hyperthyroidism

16

what thyroid disease can you get after pregnancy which is associated with post natal depression?

post partum thyroiditis