ENDOCRINOLOGY IN PREGNANCY

Question 1

What type of diabetes can pregnant women get?

Answer 1

Gestational Diabetes

Question 2

During what trimester do women get GDM?

Answer 2

3rd

Question 3

What can develop after GDM?

Answer 3

Type 2 DM (50% chance)

Question 4

What is a complication of uncontrolled diabetes in babies involving size?

Answer 4

Macrosomia (large baby)

Question 5

What two complications can develop in neonates if the mother is hyperglycaemic?

Answer 5

Hypoglycaemia
Hypocalcaemia
(Hyperglycaemia in mother means baby is producing loads of insulin and does after birth as well)

Question 6

What do you give to all pregnant mothers?

Answer 6

Folic Acid

Question 7

What is the treatment for GDM?

Answer 7

Lifestyle
Metformin
(may need insulin)

Question 8

What must be controlled when planning to conceive?

Answer 8

Blood glucose

Question 9

Hypothyroidism causes weak/heavy periods?

Answer 9

Heavy

Question 10

Hyperthyroidism causes weak/heavy periods?

Answer 10

Weak

Question 11

True/ False?

Thyroid demand increases during pregnancy

Answer 11

True

Question 12

When do you increase thyroxine dose during pregnancy?

Answer 12

As soon as pregnancy is suspected

Question 13

What drugs are used and when to manage hyperthyroidism in pregnancy?

Answer 13

Propylthiouracil in 1st trimester

Carbimazole in 2/3rd trimester

Question 14

What antibody should you measure in hyperthyroid pregnancy?

Answer 14

TSH Receptor Antibodies (TRAb)

Question 15

What is thyroiditis after birth known as?

Answer 15

Post-partum thyroiditis

Question 16

Describe the changes in post-partum thyroiditis

Answer 16

Hyperthyroid at 6 weeks

Hypothyroid after

Question 17

What can patients with post partum thyroiditis develop?

Answer 17

Small goitre

Question 18

What drug should you make sure patients are off 6 weeks after post partum thyroiditis?

Answer 18

Carbimazole