Complications of Pre-Gestational Diabetes Mellitus

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Questions and Answers

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?

  • 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?

  • 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?

<p>Detecting proteinuria (B)</p> Signup and view all the answers

What is the minimum recommended gap between growth scans for monitoring fetal growth in women with pre-gestational diabetes?

<p>3 weeks (A)</p> Signup and view all the answers

Flashcards

Pre-GDM complications

Increased risk of PIH, polyhydramnios, and infections like asymptomatic bacteruria during pregnancy when a woman has Pre-Gestational Diabetes Mellitus

PIH

Pregnancy-induced hypertension, a serious blood pressure complication during pregnancy.

Polyhydramnios

Excessive amniotic fluid during pregnancy.

Asymptomatic bacteruria

Presence of bacteria in the urine without symptoms.

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Antenatal visit monitoring

Regular checks of weight, blood pressure, urine protein (dipstick), and blood glucose during pregnancy.

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Screening USG

First ultrasound scan at 18-20 weeks to evaluate fetal health in Pre-gestational diabetes pregnancies.

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TIFFA/Target scan

A specific type of ultrasound scan at 18-20 weeks for patients with pre-gestational diabetes.

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Fetal ECHO

Ultrasound examination of the fetal heart at 22-24 weeks to check for heart defects (like VSD).

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Urine routine & microscopy

Checking urine for infections and abnormalities.

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Urine culture & sensitivity

Test to identify the specific bacteria causing infection and determine the most effective antibiotic.

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Fetal Monitoring (32 weeks onwards)

Regular monitoring of the fetus using NST, BPS, and growth scans to assess well-being.

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Non-Stress Test (NST)

Test to check the baby's heart rate response to movement.

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Biophysical Profile (BPS)

Comprehensive assessment of the fetus's health using ultrasound to check movement, breathing, and tone.

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Growth scan

Ultrasound screening to check the baby's growth.

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Fundal examination

Checking for diabetic retinopathy during a physical exam.

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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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