Points to Remember

Question 1

Delivery time for IUGR

Answer 1

1. if anticipate before 34 wks, consult MFM…if before 32 wks: give mag for neuroprotection
2. Goal: 34 wks if IUGR with other risk factors
3. 38-39 6/7wks if isolated IUGR

Question 2

Delivery time for GHTN/PReE without severe features

Answer 2

37 wks

Question 3

Delivery time for CHTN

Answer 3

38-39 wks

Question 4

Delivery time for CHTN with Superimposed PreE without severe Features

Answer 4

37 wks

Question 5

Delivery time for CHTN with Superimposed PreE with Severe features and stable

Answer 5

34 wks

Question 6

Delivery time of GHTN or PreE with severe features

Answer 6

34 wks if stable

Question 7

Do not wait for steroids if these sx are present in GHTN, PreE, CHTN with severe features, NO MATTER WHAT GEST AGE.

Answer 7

1. nonviable
2. stillbirth
3. nrfhts/bpp 4/10 2 occ, 6 hrs apart
4. DIC
5. pulmonary edema
6. placental abruption
7. uncontrollable severe HTN
8. Eclampsia

Question 8

Conditions with PreE with severe features that you should not delay delivery, but ok to wait 48 hr benefit for steroids…

Answer 8

1. renal insufficiency/progressive
2. IUGR (reverse end diastolic flow)
3. thrombocytopenia, severe
4. abnormal liver enz
5. severe oligohydramnios
6. Labor/PPROM

Question 9

What are severe features?

Answer 9

1. 160/110 (4 hrs apart)

2. Thrombocytopenia (