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41 Cards in this Set

  • Front
  • Back

What are some risks of polycystic ovary syndrome?

  • Damaged fertility
  • Miscarriage
  • Gestational Diabetes
  • Premature birth

What are some risks of high blood pressure in pregnancy?

  • Maternal kidney damage
  • Low birth weight
  • Pre-eclampsia

Why is diabetes dangerous during pregnancy?

It can cause congential malformations such as neural tube defect.

Why is kidney disease dangerous during pregnancy?

It can cause miscarriage.

What are some risks of thyroid disease to a fetus?

It can contribute to:


  • Poor fetal weight gain
  • Heart failure
  • Birth defects

Give a way that the risk of transmission of HIV/AIDS to a fetus from the mother can be reduced.

Caesarean section

Give two reasons why pregnancy over the age of 35 is more risky.

  • Delivery is more likely to be complicated, for example increased risk of excessive bleeding, prolonged labour, labour that does not advance etc.
  • Genetic disorders more likely.

Give three risk factors for gestational diabetes.

  • Obesity

  • Age > 35

  • History of type 2 diabetes or previous history of gestational diabetes

What proportion of pregnancies in the UK does gestation diabetes typically affect?

5%

What causes gestational diabetes?

Human placental lactogen interfering with susceptible insulin receptors. This results is high blood glucose levels.

Give three relatively minor complications to the baby resulting from gestational diabetes.

  • Large for gestational age
  • Jaundice
  • Low blood sugar levels

What is pre-eclampsia characterised by?

High blood pressure and protein in the urine.

How frequently does pre-eclampsia typically occur in the UK?

10%

When in a pregnancy does pre-eclampsia typically occur?

In the last three months.

Approximately how prevalent is severe pre-eclampsia in the UK?

2%

Name some risk factors for pre-eclampsia.

  • First pregnancy

  • Diabetes
  • Previously diagnosed hypertension

  • Multiple pregnancy
  • Previous history of pre-eclampsia

  • Previous history of kidney disease.

What does the triple test screen for?

Risk of chromosomal abnormalities, and neural tube defects.

What is a screening test?

A test to identify asymptomatic, healthy individuals at significant risk of disorder to warrant further investigation.

What is a diagnostic test?

A test to confirm that a person has a disease or is free from the disease.

What method does the triple test use?

Amniocentesis

What is the nuchal translucency scan?

An prenatal ultrasound scan to help identify higher chances of chromosomal conditions, including Down syndrome, in a fetus.

How does a nuchal translucency scan work?

It assesses the quantity of fluid collecting within the nape of the fetal neck. Fetuses with Down syndrome tend to have an increased amount of fluid around the neck.

When does a nuchal translucency scan typically take place?

11-13 weeks gestation.

What is folic acid required for?
The synthesis of nucleic acids.
What does a deficiency in folic acid often result in?
Megaloblastic anaemia.
What is the recommended dose of folic acid for adults?
200µg a day
When should the recommended daily dose of folic acid be doubled?
Shortly before conception and in the first three months of pregnancy.
In pregnancy, what is the highest single risk factor for spina bifida?
Folic acid deficiency
Name three good sources of folic acid.
Yeast extract, liver and green leafed vegetables.
Why is vitamin D important for fetal development?
Because it is involved in calcium and phosphate regulation, affecting the bone growth of the fetus.
What is the recommended daily dose of calcium during pregnancy and breast feeding?
10µg
What does vitamin D deficiency often result in?
Rickets.
Which two groups of people are at higher risk of vitamin D deficiency than most?
Certain ethnicities (south asian, african, caribbean and middle eastern), and women who keep covered up for cultural reasons.
Why should vitamin A consumption be limited during pregnancy?
Vitamin A above 700µg daily may be teratogenic.
Why should mould–ripened cheese and pate be avoided during pregnancy?
Due to the risk of listeria.
Why should tuna, shark, swordfish and marlin be avoided during pregnancy?
Due to their mercury content.
Why should liver be avoided during pregnancy?
Due to its high vitamin A content.
Why should raw or partially cooked egg or meat be avoided during pregnancy?
Due to the risk of salmonella.
Why is listeriosis dangerous during pregnancy?
It can result in stillbirth, miscarriage and other health complications after birth.
What are some common symptoms of listeriosis?
High temperature, Fever, Diarrhoea, Vomiting
What kind of infection is listeriosis?

Bacterial