Maternal Complications of Pregnancy Flashcards
(21 cards)
What is the recommended management for a pregnant patient with no history of preterm labor and a short cervix (≤ 2.5 cm) on TVUS?
Vaginal progesterone. A shortened cervical length is not sufficient to diagnose cervical insufficiency.
Rapid diagnosis:
- Second trimester cervical length ≤ 25 mm on ultrasound
- ≥2 consecutive second trimester pregnancy losses
- Dilated and effaced cervix
Cervical insufficiency
What is the cause of subjective shortness of breath, fatigue, and a third heart sound in a healthy pregnant patient during later stages of pregnancy?
The gravid uterus can compress the inferior vena cava and the iliac veins
What is the likely diagnosis in a woman at 20 weeks gestation that presents with new-onset hirsutism and acne?
Luteoma
Complications of inadequate weight gain during pregnancy include(2):
- Fetal growth restriction
- Preterm delivery
What is the initial treatment of choice of postpartum deep venous thrombosis ?
LMWH
Diagnosis of a pregnant patient with pruritic, erythematous papular rash over abdominal striae during the third trimester?
Polymorphic eruption of pregnancy (PEP)
What is the treatment for polymorphic eruption of pregnancy (PEP)?
Topical corticosteroids + antihistamines
__________ is indicated for pregnant individuals with cervical insufficiency who are at < 24 weeks’ gestation to help prevent pregnancy loss and preterm birth
Transvaginal cervical cerclage
What is the recommended management for a pregnant patient with history of ≥2 prior consecutive, painless, second-trimester losses?
Cerclage at 14 weeks ± vaginal progesterone
First-line therapies for nausea secondary to pregnancy
Doxylamine and pyridoxine (B6)
- Prolonged rupture of membrane and chorioamnionitis is managed with:
- Prolonged rupture of membrane and postpartum endometritis is managed with:
- Ampicillin + gentamicin
- Clindamycin + gentamicin
What is the management of chorioamnionitis with reassuring fetal heart tones?
Antibiotics &Induction of labor
Cesarean delivery should only be performed in patients with chorioamnionitis who have standard obstetric indications such as:
Failure to progress during labor or nonreassuring fetal status
What is the likely diagnosis in a 6-month postpartum woman that presents with irregular vaginal bleeding, an enlarged uterus, and dyspnea with multiple infiltrates on CXR?
Choriocarcinoma
Diagnosis of a mole or choriocarcinoma is with:
β-HCG level and TVUS
What type of ovarian cyst is associated with a hydatidiform mole?
Theca-lutein cysts due to ovarian hyperstimulation secondary to markedly elevated β-hCG levels
What is the recommended management for a pregnant patient with a suspected theca lutein cyst secondary to a complete molar pregnancy?
Dilation and curettage (of the hydatidiform mole)
A central mass with hypoechoic spaces on ultrasonography, the absence of fetal heart sounds, a fundus that is larger in size than the gestational age, and highly elevated beta-hCG levels (> 100,000 mIU/mL) and no fetal parts indicates a:
complete hydatidiform mole,
What is the next step in treatment of a hydatidiform mole if hCG levels remain elevated after D&C?
Methotrexate
Newly detectable β-hCG levels within 6 months following suction curettage for a hydatidiform mole is diagnostic for:
Gestational trophoblastic neoplasia (e.g. choriocarcinoma)
