High Risk Pregnancy 1

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Author:
GordyG
ID:
248812
Filename:
High Risk Pregnancy 1
Updated:
2013-11-24 14:17:06
Tags:
OB
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Description:
OB
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  1. What hormones alter carbohydrate metabolism?
    Estrogen, Prolactin
  2. Gestational DM does not become diagnosed in the first trimester
    Maybe second or third trimester
  3. Gestational DM mothers may be at risk for developing DM later in life
    Or it becomes unresolved
  4. Why does Gestational DM resolve after pregnancy (in non-breastfeeding mothers)
    Once the placenta is expelled, then there is less production of Estrogen and Progesterone as well as hPL, Prolactin, and Cortisol
  5. How soon will GDM resolve (in non-breastfeeding mothers)
    7-10 days
  6. Breastfeeding women may still be at risk for GDM because of the amount of Prolactin they produce
    So they will need to be monitored to determine a plan of care
  7. What is the most significant risk factor for determining if a mother is at risk for developing GDM
    Macrosomia in a previous pregnancy
  8. HELLP
    • Hemolysis
    • Elevated
    • Liver enzymes
    • Low
    • Platelet count
  9. A woman may progress into HELLP
    From pre-eclampsia without ever going into eclampsia

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