gestational diabetes Flashcards
1
Q
chronic metabolic disorder due to either absolute or partial insulin deficiency
A
Diabetes Mellitus
2
Q
when is GDM usually seen?
A
2nd and 3rd trimester
3
Q
maternal complications of GDM
A
worsening of retinopathy and proteinuria; depends on creatinine and proteinuria
hypertension and CVD
4
Q
highest chance of maternofetal complicaation
A
Macrosomia
5
Q
effects of GDM during puerperium
A
Puerperial sepsis
Lactation failure
6
Q
effects of GDM during labor
A
Prolongation of labor due to big baby shoulder dystocia Perineal injuries PPH operative interference
7
Q
screening time for GDM suspect
A
24-28 weeks
8
Q
alternative approach to GDM screening
A
75 gram oral glucose tolerance test
9
Q
Investigation on the status of diabetes
A
Urine culture Opthalmo exam Renal function test ECG Hb ArC
10
Q
management during preg; fetal monitoring
A
UTZ; end of trimester for anencephaly
every 4 weeks
11
Q
CTG of GDM
A
after 32 weeks of gestation, twice a week
