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20 Cards in this Set
- Front
- Back
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What is the ACOG recommendation for prenatal folate supplement?
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3 months prior and 3 months into into pregnancy.
- 0.4mg: 36% risk reduction - 4mg: 80% risk reduction Note that brain formation is complete within 8-10 weeks. |
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What is the additional weight gain for pregnant low-weight patients? (BMI<20)
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28-40 lbs (12.5-18kg)
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What is the additional weight gain for pregnant normal-weight patients? (BMI=20-25)
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25-35 lbs (11.5-16kg)
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What is the additional weight gain for pregnant high-weight patients? (BMI=26-29)
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15-25 lbs (7-11.5kg)
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What is the additional weight gain for pregnant OBESE patients? (BMI>30)
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At least 15 lbs (7kg)
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What are 5 complications that obese pregnant female are at risk of?
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Hypertension
Diabetes Large babies (because DM) Assessment error Thrombotic events |
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What are the 3 level of public antenatal/delivery care in Aus?
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Widwifery
OB/medical officer care Shared Antenatal Care (SANC) |
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What is the ideal age-range to fall pregnant?
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19-35 yo
12-19: - anemia, preterm, low birth wt, operative delivery (small pelvis), SIDS >35yo: - miscarriage, chromosomal abnormal, HTN, GDM, C-section, still birth. |
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What are the 3 ways to establish gestational age?
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a. 280 days (+/- 17 days)
b. 9mo + 7days (in 28d cycle) c. Trans-vaginal U/S d. Fertilization age if IVF |
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When is the most accurate time period to do U/S for gestational age? Why?
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Most accurate is 1st trimester, because fetal development is least varied by maternal complications (ie. GDM).
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What is measured to determine gestational age via U/S?
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Crown Rump Length (CRL)
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What is Gravidity?
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Gravidity = the number of time a woman have been pregnant (including abortion/multiple fetus)
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What is Parity?
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Parity = the number of time giving birth to an infant POST 20 weeks (dead or alive).
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Part 1: History
What should be considered in SES demographic? |
Single parent?
Employment Poor SES support Domestic violence Minor ethics group Poor attendance at visit |
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Part 1: History
What should be considered in Menstrual history? |
Last menstrual period (LMP)
Menstruation cycle - regularity - length - certainty Expected delivery (EDD) - Duration (280d) - Naegel's (9mo + 7d) - TVUS (CRL) |
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Part 1: History
What should be considered in OB history? (G's & P's) |
Gravidity
Parity G_, P_,_,_,_ a. number of pregnancy b. full-term c. pre-term d. abortion e. living |
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Part 1: History
What should be considered in OB history? (baby status) |
a. DATE and PLACE
b. Miscarriage/ectopic/abortion c. Gestational age d. Duration of labor e. Mode of delivery f. Birth Wt + gender g. Complication + feeding |
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Part 1: History
What should be considered in GYN history? |
a. Infertility (Primary or Sec)
b. ART or IVF? c. Cervical screening (PAP) d. STD/PID e. Gyn surgery (myoectomy) |
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Part 1: History
What should be considered in Medical history? |
RESP - asthma, CF
CVS RENAL - infection increases chance of preterm labor THYROID HTN - essential, chronic, pre-eclampsia DIABETES - control, fetal heart abnormality (ASD), macrosomia, shoulder dystonia, IUGR, fetal death, hypoglycemia PSYCH - postpartum depression |
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Part 1: History
What should be considered in Medication history? |
Aus: don't give iron & vit-D
Classes: A - safe B - C - D - X - |
