GDM Flashcards

(7 cards)

1
Q

list risk factors for GDM

A

ethnicity, BMI >30, mat age >40, prev/family hx GDM, prev LGA, PCOS, multiple

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2
Q

list specific aspects of antenatal care for GDM women

A

referral to dietician/DM educator/endocrinologist, monitor GWG, urine testing for keton/proteinuria

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3
Q

describe intrapartum medication and BGL management for GDM women having VB and CS

A

VB: cease metformin/insulin
CS: cease metformin 24 hours before, usual insulin the night before then cease
BGL monitoring every 2/24

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4
Q

describe PP care for GDM women

A

if metformin or ins: BGL 6/24
rec OGTT within 6-12 weeks and lifelong screening every 3 years
early OGTT in future pregnancies

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5
Q

list mat and fetal risk factors for neonatal hypoglycaemia

A

mat: DM, intrapartum glucose, beta blockers, valproate, hx metabolic disorders
fetal: premature, SGA/IUGR, LBW, LGA, hypothermia

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6
Q

list midwifery actions to prevent neonatal hypoglycaemia

A

keep baby warm, keep dry, early feed 30-60mns from birth, early S2S, avoid separation from mother where possible, assess for risk factors

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7
Q

describe fetal consequences of GDM

A

RDS, prematurity, LGA, hypoglycaemia, jaundice, stillbirth

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