Maternal Disorders

Question 1

What is spine hypotensive syndrome?

Answer 1

a temporary, acute disorder due to the compression of the IVC by the weight of a pregnant uterus

Question 2

What are risk factors for hypertensive disorders?

Answer 2

chronic hypertension
diabetes mellitus
multiple pregnancies
chronic renal dx

Question 3

What’s chronic hypertension relating to pregnancy?

Answer 3

Bp of 140/90 or greater before 20wks gestation (w/o presence of hydatiform mole or hypertension) that persists for more than 42 days postpartum

Question 4

What is the concern with chronic hypertension?

Answer 4

placental abruption

IUGR, hypoxia, fetal death, small/calcified placenta

Question 5

What are the types of hypertensive disorders?

Answer 5

Chronic hypertension (3 types in PPT)
Pregnancy induced hypertension
preeclampsia
eclampsia
HELLP syndrome

Question 6

What are some signs of an abnormal uterine artery Doppler signal?

Answer 6

early diastolic notch
reduced EDV resulting in high PI (>1.5)
high RI (>0.58)
RI above 95th percentile

Question 7

Pregnancy induced hypertension usually develops when?

Answer 7

after 20 wks

may develop before with gestational trophoblastic dx

Question 8

What are signs and symptoms of pregnancy induced hypertension?

Answer 8

BP 
proteinuria
oliguria
edema
weight gain >3.6kg/week after 20wks
headaches, visual disturbance

Question 9

What is eclampsia?

Answer 9

the development of seizure or coma w/o an underlying neurologic or febrile origin (epilepsy or systemic infection) in a patient with preeclampsia

Question 10

What does TORCH stand for?

Answer 10

toxoplasmosis
others (syphilis, varicella, parovirus B19 infection, hep B)
herpes 
CMV
rubella