Ob/Gyn- Medical Conditions in Pregnancy- Dr. Wooton Flashcards
(34 cards)
what weeks is screening for gestational diabetes?
weeks 24-28
what test do you do for screening for gestational diabetes?
50 gm one hour oral load glucose challenge test.
if abnormal follow by a 3 hour 100 gm oral load glucose tolerance test.
what is the most common fetal complication of gestational diabetes?
increased risk of spontaneous abortions
what are the two classes of gestational diabetes?
class A1: gestational diabetes; diet controlled Class A2: gestational diabetes: insulin or oral meds controlled
in part of the antepartum management in GDM, ultrasound for fetal weight. what weight is recommended for cesarean delivery?
4250 g
In postpartum management of GDM, what causes the insulin requirements to drop?
delivery of the placenta
what should be monitored throughout pregnancy in maternal hyperthyroidism?
TSH levels
can medications for hyperthyroidism cross the placenta?
yes… fetal hypothryroidism and fetal goiter can develop
what should hypothyroidism be treated with?
levothyroxine
monitor what levels monthly in hypothyroidism?
TSH and free T3/T4 levels monthly
whats the most common lesion in Rheumatic heart disease?
mitral stenosis
what is an absolute contraindication to pregnancy due to decompensation during pregnancy?
primary pulmonary HTN
what is the moratality rate in postpartum cardiomyopathy?
20%
Should all pregnant cardiac patients be co-managed w/ a cardiologist?
TRUE
which delivery method is preferred in cardiac patients unless there are obstetric indications?
vaginally delivered
what syndrome may coexist with SLE and has presence of lupus anticoagulant and or anticipation antibody. also assoc. w/ arterial and venous thormbosis?
Antiphospholipid Syndrome
what are the three types of Acute renal failure?
prerenal- seen with acute blood or fluid loss
renal- usually preexisting disease or hypercoaguable state
postrenal- rare, urologic obstructive lesions (kidney stones)
treatment for acute renal failure?
prerenal- restore volume
renal- tx is to prevent further damage
postrenal- mechanics to remove the obstruction
what serum creatinine worsens prognosis? and with what patient condition is this seen with?
Chronic Renal Failure
greater than 1.5 to 2 serum creatine
how many women complain of nausea and vomiting during prenancy?
60-80%
what is Hyperemesis gravidarum?
persistent nausea and vomiting associated with >5% loss of pregnancy weight.
hyperemesis gravidarum occurs more frequently in?
first pregnancies, multiple pregnancies, molar pregnancies
what is Mendelson’s syndrome?
also known as acid aspiration syndrome
what is the prognosis for pregnant patients with IBS?
usually do well
