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14 Cards in this Set
- Front
- Back
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preclampsia definition
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blood pressure > 140sytolic or 90diastopic that occurs after 20 weeks of gestation in woman with previously normal gestation
proteinuria |
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eclampsia
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preclampsia + siezures
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risk factors for preeclampsia
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preconception:
prev history (especially at 28wks) htn renal disease diabetes pregnancy related: midtrimester evaluations of AFP, HCG, inhibinA |
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preeclampsia + chronic hypertension prognosis
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worse than either alone - lots of complications with both
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management of severe preeclampsia
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maternal fetal evaulation for 24hr
magnesium sulfate for 24 hours antihypertensives |
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post-partum hemorrhage etiology
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things that cause atony - multiparity, uterine overdistention, general anesthsia, MgSO4
retained placental tissue - succenturiate lobe, placenta accreda genital tract laceration - episiotomy uterine inversion |
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uterine inversion
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more common in multigravida pregnancy
iatrogenic usually plaenta appears at introitus with mass attached see shock, hemorrhage |
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T/F intrauterine growth restriction due to placental insuf tend to be asymmetric
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true
chromosome abnormality -> symmetric |
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how to prevent preterm labor
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17alpha hdroxyprogesterone
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fetal fibronectin
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if negative there wont be labor soon
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pathways to preterm labor
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pathological uterine distension - multifetal pregnancy, polyhydramnios
decidual hemorrhage - abruption inflammation - infection activation of maternal/fetal HPA axis - stress |
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tocolytics
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beta-mimetic
mag sulfate calcium channel blocker prostaglandin inhibitors |
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antenatal steroids
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given before birth - reduce risk of respiratory distress syndrome and decrease mortality and intraventricular hemorrhage for preterm labor
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5 components to cervical exam...look for
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Dilation
Effacement Station (how high above pelvic outlet) Position (more anterior cervix is better) Consistency (softness) |
