Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
12 Cards in this Set
- Front
- Back
|
Carbohydrate intolerance of variable severity with onset or first diagnosis during index pregnancy |
Gestational diabetes |
|
|
Pathophysiology |
Peripheral insulin resistance due to increase in hPL, hCG, Prolactin, Free cortisol, Progesterone, Estrogen |
|
|
Maternal complications |
Increase PIH Infection Macrosomia and shoulder dystocia Polyhydramnios Increase C/S rate Retinopathy Nephropathy Macrovascular diseases |
|
|
Fetal complicarions |
Abortion Congenital abnorms: Caudal regression syndrome, situs invertus, CNS abnorm, Cardiac abnorm Macrosomia IUGR IUFD |
|
|
Neonatal complications |
RDS Polycythemia Hyperbilirubinemia Hypoglycemia Hypocalcemia Hyoomagnesaemia |
|
|
Physical signs |
Recurrent furunculosis or candidiasis EFWT 4KG Polyhydramnios Maternal weight overweight |
|
|
Diagnostic tests |
RBS: Normal<7 Impaired GT 7-11 Diabetic >11 FBS: Normal <6mmol Impaired 6-8 Diabetic >8 OGTT(2HPP): Normal<8 Impaired 8-11 diabetic >11 |
|
|
ANC management |
Admit Weekly ANC Monthly glucose profile and restabilization Diet and weight control Exercise Insulin therapy |
|
|
HBA1C |
Well controlled 8% less good controll 8-11% poorly controlled >11% |
|
|
Maternal complications of anemia |
Severe anemia Hypoglycemia Cerebral malaria Renal failure Heoatic failure HypoTENSION Acute pulmonary edema DIC |
|
|
Fetal complications of malaria |
Spontaneous abortion Premature delivery IUGR IUFD |
|
|
Neonatal and infant probs |
Increased mortality rates Congenital. malaria Anemia Increased rates of other infection Malnutrition |
