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3 Cards in this Set
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Tog 18 :2 INSULIN PUMP
A recent UK audit ofpump use documented that around 6% of UK individuals withdiabetes mellitus type I currently use a pump.
This is muchlower than other European countries (more than 15%) as wellas the USA (40%).
Nearly 20% of pregnant women with pre-existing diabetes oninsulin were using CSII across the UK.
Advise women with a fasting plasma glucose level between 6.0 and 6.9 mmol/litre thatthey are at high risk of developing type 2 diabetes,
< 6 mmol/L moderate risk
Consider glibenclamide (sulphonylurea)
for women with gestational diabetes:in whom blood glucose targets are not achieved with metformin but who declineinsulin therapy or
who cannot tolerate metformin. [new 2015]
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tog 16:3
Caesarean section at full dilatation (n = 549) is associated with more than double the risk of intraoperative trauma compared with CS during the first stage of labour .
Maternal intraoperative trauma, such as laceration to bladder or bowel or extension of uterine incision, is reported to occur in the range of 10% to 27%
Maternal haemorrhage (>1000 ml) is reported to occur in between 4.7% and 10% of CS at full dilatation.
Low rates of maternal sepsis, wound infection and postoperative pyrexia are reported in the majority of studies regardless of route of delivery.
More significant trauma such as fractured clavicle and brachial plexus injury were also more common following operative vaginal delivery. |
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Which of the following risk factor has the strongest odds ratio to occur during pregnancy in OBESE women?
A) pre eclampsia B) Lscs C) PPHD ) GDM E) macrosomia. D
#Diabetes The most commonest cause of death among pregnant diabetics is ?????
A) Infection B)Hyperglycaemia C) Ketosis D)Hypoglycaemia E)CVA. D
#Diabetes A 35 year old multiparous patient with long standing type one diabetes seeks advice regarding contraception. She is not sure she has completed her family although her endocrine physician has expressed their concerns about another pregnancy because of her retinopathy and early renal disease. What is the best option of contraception for her ??
A.encourage sterilization B.COCP C .copper IUCD D.DMPA E.LNG IUS. C 7–20% of women will fail to achieve adequate glycaemic control with diet and exercise alone: oral hypoglycaemic agents or insulin will be required to control their gestational diabetes.T/ |
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