Flashcards in Maternal Mortality Deck (28):
What causes maternal death?
Preexisting condition: DM, Heart disease, psych
Direct maternal deaths
Amniotic fluid embolism
Post partum haemorrhage
What cardiac changes in preg?
CO increases by 50% by 32w
What renal in preg changes?
GFR increases by 55%
GI changes in preg?
Progesterone: relaxes uterus, reduced esophageal sphincter, more GI motility
Haematologic all change in preg?
Anaemia of preg: dilution all due to increase volume, not as much as red cells.
Consideration in preg for resus?
Increase blood volume
Increase risk of aspiration: cuffed endotracheal
Make sure adequate ventiliation
Alpha/beta agonists may reduce utero placental perfusion
If preg mother arrests?
Defibrillation safe for fetus
Peri-mortem often C-section, decide at 4', deliver at 5'
Contraindication for preg?
Pulmonary HT or eisenmenger's syndrome
Risks of increased cardio output has implications for?
LV dysfunction: ischaemia, valvular, peri partum cardiomyopathy
Fixed output: (AS, MS)
What can reduce diastolic filling time?
Post partum cardio?
Get huge increase in preload, need good LV function
Worse cardiac lesions to have while preg?
Cyanotic heart disease
NYHA III, IV
Prepare pre-preg Counselling of cardiac?
Risk of what post partum with cardiac disease?
Pulmonary oedema, give diuretics
Thromboembolism need to do what?
Thromboembolism cause/inter current risk factors?
Where likely for preg woman to get DVT?
85% in left leg
Anticoagulation choices in preg?
D0-D9 post conception
Resorption (>10 rads) or survive undamaged
W3-w11 post conception imaging?
no adverse fetal effect at
CXR fetal dose?
4Ms in DM1 for fetus?
Risks of obesity in mother for baby?