Podcast
Questions and Answers
What defines severe anaemia in a pregnant woman?
What defines severe anaemia in a pregnant woman?
- Haemoglobin level between 7g/dl and 10g/dl
- Haemoglobin level less than 5g/dl
- Haemoglobin level less than 7g/dl (correct)
- Haemoglobin level above 10g/dl
What blood pressure reading is indicative of hypertension during pregnancy?
What blood pressure reading is indicative of hypertension during pregnancy?
- 150/95 mmHg
- 140/90 mmHg (correct)
- 120/80 mmHg
- 130/85 mmHg
Which of the following symptoms can indicate Gestational Diabetes Mellitus (GDM)?
Which of the following symptoms can indicate Gestational Diabetes Mellitus (GDM)?
- Presence of sugar in urine (correct)
- Increased fatigue
- Presence of high blood pressure
- High protein levels in urine
Which age groups are considered high-risk for pregnancy?
Which age groups are considered high-risk for pregnancy?
What additional risk factor is associated with high-risk pregnancy?
What additional risk factor is associated with high-risk pregnancy?
Which of the following complications are associated with severe anaemia during pregnancy?
Which of the following complications are associated with severe anaemia during pregnancy?
What is the recommended procedure for testing for Gestational Diabetes Mellitus during ANC?
What is the recommended procedure for testing for Gestational Diabetes Mellitus during ANC?
Which of the following conditions from a previous pregnancy classifies a woman as high-risk?
Which of the following conditions from a previous pregnancy classifies a woman as high-risk?
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Study Notes
High-Risk Pregnancy Conditions
- High-risk pregnancies involve health issues that can lead to severe complications for both the mother and the fetus.
- Complications can include life-threatening situations, necessitating prompt support and referral.
Common High-Risk Conditions
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Severe Anaemia
- Defined as hemoglobin levels below 7 g/dl.
- Potential consequences include cardiac failure, infections, preterm labor, and failure to lactate.
- For the fetus, risks include prematurity and newborn anemia.
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Hypertension
- Diagnosed when blood pressure readings reach 140/90 mmHg or higher in two consecutive assessments.
- Can lead to serious complications such as respiratory problems and renal failure during pregnancy.
-
Gestational Diabetes Mellitus (GDM)
- Identified through the presence of sugar in urine during pregnancy.
- Increases the risk of hypertension, prolonged and obstructed labor, and the need for cesarean delivery.
- Testing for GDM should occur twice during antenatal care (ANC), with the first test done during the initial ANC checkup.
Additional Risk Factors
- Pregnant women under 19 or over 40 years of age are at higher risk.
- Having three or more previous children, excessive weight gain, or insufficient weight gain also categorizes pregnancies as high-risk.
- A history of complications in previous pregnancies, such as abortion, stillbirth, premature birth, or obstructed labor, contributes to increased risk.
Responsibilities as an ASHA
- Provide extra care and support for women identified as high-risk.
- Monitor high-risk pregnancies closely and ensure timely adherence to prescribed medications and treatments.
- Recognize and respond to danger signs as outlined in previous lessons, facilitating immediate referrals to health facilities when necessary.
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