OB exam 3
Card Set Information
OB exam 3
LCCC OB HIGH RISK PREGNANCY
high risk pregancy
What is the definition of a high risk pregnancy?
one in which the life or health of the mother or fetus is jeopardized by a disorder of condition coincidental or unique to pregnancy
What are the prenatal high risk factors for social personal?
low educational level
excessive alcohol consumption
initmati parrtner violence
age<16 and >35
What are the prenatal high risk factors associated with preexsisting medical disorders?
cardiovascular disease (cardiac, HTN, thrombolembolic disease)
All of these and take into consideration all the meds they are on to treat disease
What are the high risk factors associated with Obstetrical/previous pregnancy?
habitual (recurrent abortion)
Rh or blood group sensitization
What are the high risk factors associated with Ob/current pregnancy?
Grandmultiparity > 5
trauma / substance abuse
How is carbohydrate metabolism normally in early pregnancy? in second half?
early:increased insulin production and tissue sensitivity
: increased peripheral resistance to insulin
Why does the placenta produce several hormones during pregnancy to antagonize insulin? what are those hormones?
to spare glucose for the continuously growing baby;
Human placental lactogen*
What is the primary concern in pregnancy with preexisting diabetes
control of blood glucose levels
How does hPL work?
affects fatty acids and glucose metabolism; promotes lipolysis, decreases glucose uptake