Maternal Obesity Flashcards Preview

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

Flashcards in Maternal Obesity Deck (32):
1

How many women in Australia are overweight?

>50%

2

Gain too much in preg what happens after preg?

Weight retention

3

Maternal obesity increases risk of

Neural tube defects

Exomphalos
Heart defects

4

Maternal obesity affect neural tube defect detection?

Missed in scan
Likely to be on diets
Pre preg Glucose
Less responsive to B12

5

Macrosomia is?

Birthweight >4kg

6

HTN and Maternal obesity preeclampsia?

Every increase in BMI, 8% increase in preeclampsia

7

VTE risk increased in Maternal obesity ?

Nope.

8

Maternal obesity and onset of labour?

Need more induction

9

Maternal obesity risk of preterm labour?

Notreally

10

Maternal obesity anaesthesia

Dosage
Epidural more challenging
GA- risk of death

11

Maternal obesity labour problems?

Poor uterine contractility

12

Maternal obesity c-section?

Harder, more infection, longer stays, higher cost

13

Maternal obesity lactation?

Less likely to commence
Less likely to continue
More likely to have late arrival

14

Diabetes in Pregnancy Insulin?

Pregnancy is diabetogenic

15

Diabetes in Pregnancy?

Glucose intolerance
More insulin requirements
Nephropathy
Retinopathy
Likely keto
Likely hypos

16

DM1, consider what in Diabetes in Pregnancy if planning?

Laser for retinopathy in pre pregnancy

17

Diabetes in Pregnancy increases risk of what?

Pre-eclampsia
DM1 - POlyhydramnios
Miscarriage
Infection

18

Polyhydramnios increase risk of?

PPROM, premature labour

19

Diabetes in Pregnancy, congenital abnormality of note:

Caudal recession syndrome: small atrophic lower limb

20

Organs of babies Diabetes in Pregnancy?

All a bit underdeveloped

21

MEtofrmin safe in preg?

Apparently

22

Insulin S safe in Diabetes in Pregnancy

Yes

23

Glitazones and sulfonylurea, ACEi and statins safe in preg?

Nope

24

What is not safe Diabetes in Pregnancy drugs?

Statins
Sulphonylureas
Glitazones
ACEis

25

Diabetes in Pregnancy pre preg to do?

Optimal DM
Review Meds
Other autoimmune conditions such as thyroid, Coeliac
Smoking
More folate
Weight loss

26

Diabetes in Pregnancy antenatal care?

Multidisciplary care

27

BSL Diabetes in Pregnancy target range?

-Fasting/preprandial 4.0-5.5mmol/l
-Post prandial

28

If decreasing insulin requirements in later preg in Diabetes in Pregnancy, what could that mean?

Placenta not functioning, need delivery

29

Diabetes in Pregnancy Intrapartum care risks?

Shoulder dystonia,
birth trauma

30

Diabetes in Pregnancy a lactation, BSLs?

Allow mild hyperglycaemia

31

What is Barker Hypothesis?

Look it up!

32

Dx of Gestational diabetes?

Fasting: >5.1moL/l or
1hr >10mmol/l
2hr >8.5mmol/l