Maternal Mortality Flashcards Preview

Jason's MD3 Women's > Maternal Mortality > Flashcards

Flashcards in Maternal Mortality Deck (28):
1

What causes maternal death?

Preexisting condition: DM, Heart disease, psych
Post-partum haemorrhage
Preeclampsia
Sepsis

2

Direct maternal deaths

Amniotic fluid embolism
Post partum haemorrhage

3

Incidental death?

MVAs
Homocide
Cancer

4

Indirect death?

Cardiac death
H1N1

5

What cardiac changes in preg?

CO increases by 50% by 32w
TPR: decreases

6

What renal in preg changes?

GFR increases by 55%

7

GI changes in preg?

Progesterone: relaxes uterus, reduced esophageal sphincter, more GI motility

8

Haematologic all change in preg?

Anaemia of preg: dilution all due to increase volume, not as much as red cells.
Hypercoagulable state

9

Consideration in preg for resus?

Left tilt
Increase blood volume
Increase risk of aspiration: cuffed endotracheal
Make sure adequate ventiliation
Alpha/beta agonists may reduce utero placental perfusion

10

If preg mother arrests?

Defibrillation safe for fetus
Peri-mortem often C-section, decide at 4', deliver at 5'

11

Contraindication for preg?

Pulmonary HT or eisenmenger's syndrome

12

Risks of increased cardio output has implications for?

LV dysfunction: ischaemia, valvular, peri partum cardiomyopathy
Fixed output: (AS, MS)
Aneurysm

13

What can reduce diastolic filling time?

Tachycardia

14

Post partum cardio?

Get huge increase in preload, need good LV function

15

Worse cardiac lesions to have while preg?

Pulmonary HT
Cyanotic heart disease
NYHA III, IV

16

Prepare pre-preg Counselling of cardiac?

Determine lesion
Assess NYHA
Advise prog
Consider if
SBE prophylaces
Consider anticoag

17

Risk of what post partum with cardiac disease?

Pulmonary oedema, give diuretics

18

Thromboembolism need to do what?

Prevention
Detection
Good Rx.

19

Thromboembolism cause/inter current risk factors?

Immobilized
Inadequate hydration

20

Where likely for preg woman to get DVT?

85% in left leg
PE

21

PE Ix?

VQ, CTPA
CXR

22

Anticoagulation choices in preg?

LMW heparin

23

Gestation sensitivities?

D0-D9 post conception
Resorption (>10 rads) or survive undamaged

24

W3-w11 post conception imaging?

no adverse fetal effect at

25

CXR fetal dose?

26

4Ms in DM1 for fetus?

Mortality
Macrosomia
Malformation
Miscarriage

27

Risks of obesity in mother for baby?

growth restrictions
Stillbirth risk

28

What to do when talking to woman of reproductive age?

ASK HER HER PLANS FOR PREGNANCY!