Podcast
Questions and Answers
What is one of the early screening methods recommended for pregnant women with pre-gestational diabetes mellitus?
What is one of the early screening methods recommended for pregnant women with pre-gestational diabetes mellitus?
- Level I USG at 18-20 weeks (correct)
- Fetal ECHO at 28-30 weeks
- Weekly NST from 36 weeks
- Urine culture & sensitivity every trimester
Which condition listed is NOT a complication associated with pre-gestational diabetes mellitus?
Which condition listed is NOT a complication associated with pre-gestational diabetes mellitus?
- Infections: Asymptomatic bacteruria
- Polyhydramnios
- Gestational Hypertension (correct)
- Pregnancy Induced Hypertension (PIH)
At what point in pregnancy should fetal monitoring begin for women with pre-gestational diabetes?
At what point in pregnancy should fetal monitoring begin for women with pre-gestational diabetes?
- Only after the delivery
- From the first trimester
- From 32 weeks (correct)
- At 24 weeks
What is the primary focus of the urine dipstick test conducted during every antenatal visit?
What is the primary focus of the urine dipstick test conducted during every antenatal visit?
What is the minimum recommended gap between growth scans for monitoring fetal growth in women with pre-gestational diabetes?
What is the minimum recommended gap between growth scans for monitoring fetal growth in women with pre-gestational diabetes?
Flashcards
Pre-GDM complications
Pre-GDM complications
Increased risk of PIH, polyhydramnios, and infections like asymptomatic bacteruria during pregnancy when a woman has Pre-Gestational Diabetes Mellitus
PIH
PIH
Pregnancy-induced hypertension, a serious blood pressure complication during pregnancy.
Polyhydramnios
Polyhydramnios
Excessive amniotic fluid during pregnancy.
Asymptomatic bacteruria
Asymptomatic bacteruria
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Antenatal visit monitoring
Antenatal visit monitoring
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Screening USG
Screening USG
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TIFFA/Target scan
TIFFA/Target scan
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Fetal ECHO
Fetal ECHO
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Urine routine & microscopy
Urine routine & microscopy
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Urine culture & sensitivity
Urine culture & sensitivity
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Fetal Monitoring (32 weeks onwards)
Fetal Monitoring (32 weeks onwards)
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Non-Stress Test (NST)
Non-Stress Test (NST)
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Biophysical Profile (BPS)
Biophysical Profile (BPS)
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Growth scan
Growth scan
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Fundal examination
Fundal examination
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Study Notes
Complications of Pre-Gestational Diabetes Mellitus (GDM)
- Increased risk of pregnancy-induced hypertension (PIH)
- Polyhydramnios (excessive amniotic fluid)
- Fetal infections
- Fetal macrosomia (larger than average baby) - caused by increased blood sugar of the mother
- Infections (asymptomatic bacteriuria)
Screening and Investigations
- Urine routine and microscopy every trimester to rule out asymptomatic bacteriuria
- Urine culture and sensitivity tests
- Ultrasound (USG) screening: Level I USG at 18-20 weeks, TIFFA/Target scan at 18-20 weeks, Fetal ECHO (to exclude ventricular septal defect (VSD)) at 22-24 weeks.
- Fetal monitoring (NST - Non-Stress Test, BPS - Biophysical Profile Score) - starting from week 32, weekly
- Growth scan at least every 3 weeks from 28-30 weeks and 34-36 weeks
Management
- Weight measurements at each antenatal visit
- Blood pressure (BP) checks
- Urine dipstick for proteinuria
- Blood glucose monitoring at each antenatal visit
Additional Notes
- Fundal examination: to rule out diabetic retinopathy - every 3rd trimester is recommended.
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