Maternal Complications During Pregnancy -

Packet 4

40 cards   |   Total Attempts: 185
  

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Gestational Diabetes
*occurs during pregnancy*develops in approximately 2.5% of pregnancies*glucose screening test is given between 24-28 weeks
Glucose Screening Test
*Will Not Give Diagnosis*Will decide whether or not more testing needs to be done**3 HOUR GLUCOSE TOLERANCE TEST IS MORE DEFINITIVE EXAM**
Risk Factors for Gestational Diabetes
*previous still birth*previous macrosomic infant*family history of diabetes*obesity*fetus with congenital anomalies*later onset of disease means less likely to be associated with congenital anomalies
Diabetes Mellitus
*have prior to pregancy*TYPE 1 - Insulin Dependent (juvenile onset)*TYPE 2 - Non iNSULIN DEPENDENT
Maternal Associated Effects of Diabetes Mellitus
*hypoglycemia*polyhydramnios*PIH (pregnancy induced hypertension)*renal dysfunction
Fetal Associated Effects of Diabetes Mellitus
*LGA/ macrosomia - large for gestational age/ fetal weight in excess of 4,000 grams or birth weight above the 90th percentile per gestational age*polyhydramnios*hydrops fetalis
Hydrops Fetalis
*accumulation of fluid or edema in at least 2 compartments - scalp edema (subcutaneous tissue)- pleural effusion- pericardial effusion- ascites
2 types of hydrops
1. Immune - due to Rh sensitivity2. Non-Immune- can be caused by anything; infection, virus, chromosomal abnormality
Hypertension
*defined as blood pressure greater than 140/90
Types of Hypertension
1. chronic hypertension (pregnancy unrelated)2. PIH -> AKA pre-eclampsia, toxemia
Clinical symptoms of pre-eclampsia:
*edema*rapid weight gain*high blood pressure*proteinuria
Most severe form of pre-eclampsia is ...
Eclampsia
Clinical symptoms of eclampsia
*seizures*headaches*blurred vision*coma, death, stroke (eclampsia)
Treatment of Pre-eclampsia/ Eclampsia
*hypertensive meds*bed rest*delivery
Pre-eclampsia/ eclampsia is associated with:
*oligohydramnios*IUGR*prematurity*placental abruption