Medical disorders in pregnancy Flashcards Preview

LMCC Study - OBGYN > Medical disorders in pregnancy > Flashcards

Flashcards in Medical disorders in pregnancy Deck (8)
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1
Q

What hormonal factors during pregnancy influence glucose control?

A
  • Placental production of insulin antagonists (increased cortisol, human placental lactogen, progesterone, HCG)
  • Typically pancreas produces more insulin but may be unable to keep up with demand especially if previous insulin resistance
2
Q

What are some risks of poor glucose control in pregnancy?

A
  • increased organ malformation (cardiac, neural tube)
  • increased change of fetal death
  • macrosomia
  • shoulder dystocia
  • increased risk of (pre)eclampsia, polyhydroaminos, infection, preterm labour
3
Q

In pre-term labour with a diabetic pt why must be use more caution when giving steroids?

A
  • Steroid use will increase blood glucose levels, must compensate with insulin
4
Q

What factors lead to increased VTE in pregnacy? (2)

A
  • Coagulation system out of balance favouring clot formation

- gravid uterus can cause mechanical obstruction leading to venous stasis

5
Q

Can D-dimer be used to investigate VTE in pregnancy? Why or why not?

A
  • No, during pregnancy there in an increasing level of circulating D-dimer giving the test no diagnostic value
6
Q

Which antiepileptic drug carries the highest risk of teratogensis?

A
  • Valproic acid
7
Q

What can happen to maternal platelet count during pregnancy (Physiological)

A
  • Maternal thrombocytopenia
  • 100-150 (Normal is 150-400)
  • Not associated with increased risk to mother or baby
  • No treatment if no bleeding and count above 50
8
Q

A pregnant women has asymptomatic bacteremia what do?

A

Treat infection