Flashcards in preconception counseling and care (1) Deck (35)
folic acid or folate?
how much does folate 400 mcg before preg to 6-12 wks post reduce neural tube defects?
folate deficient women need how much
4-5 mg 3 months before to 12 wks postconception
folate vitamin #
cannot process folic acid
things that may make folate deficient
antacids, anti inflam, antibiotic, anitconvulsants, antidiabetic, bc, cholestrol lowering, diuretics, ulcer meds
born w/ tube defects..
facial cleft, structural heart disease, limb dfe, urinary tract anomaly, hydrocephalus
why obese and infertility
insulin resistance and oligomenorrhea (infrequent periods)
how long after bariatric surgery should you wait for preg
ADEKC, B1, b12, folic acid and iron
low BMI 18.5 associated w
preterm and low birth weight
how far in advance should you make healthy lifestyle changes
3 mo -1 yr
caffeine interferes w/
calcium, d, iron, b vitamins, manganese, zic, copper, magnesium, potassium, sodium, and phosphate
more than ___mg of caffeine may reduce fertility by...
MC serious disease to affect preg
pregestational diabetes increase risk of
miscarriage, congenital fetal anomalies, and perinatal death
glucose at high level is
which tri is most important in handling glucose
a1c levels preconception
normal - 7% or lower
chronic hypertension in preg associate w/
preterm birth, placental abruption, intrauterine growth restriction, preeclampsia (25% w/ hyper will develop)
can hypertension prepreg make mom at risk for end organ damage during preg?
severe hypertension in preg?
thyroid preg impacts
hypo (1st tri) cognitive impairment in kids
preterm birth, low birth weight, placental abruption, fetal death
hypothyroid if treated early have no increased risk of perinatal morbidity
how much are thyroid dosages increased
30+ by 4-6 wks gestation
what disease almost always get worse w preg
abnormal flood coagulation that increases risk of thrombosis
thrombophilia increased risk of
recurrent miscarriage, venous and art clots
thrombophilia affects baby...
placental infarction, intrauterine growth restriction, placental abruption, fetal stroke, fetal death
what is usually given for thrombophilia?
warfarin...but its teratogenic