Pregnancy Complications and Risk Factors

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25 Questions

What is the significance of liver involvement in pre-eclampsia?

It leads to haemolysis, elevated liver enzymes, and low platelets

Which symptom is NOT typically associated with pre-eclampsia?

Abnormal LFT

What maternal conditions can predispose a woman to pre-eclampsia?

Thrombophilia's

Which parameter is used to predict pre-eclampsia?

Maternal uterine artery doppler

In what scenario should a pregnant woman be admitted due to pre-eclampsia?

>300mg/24h proteinuria detected

What is the role of estrogen and progesterone during pregnancy?

Prevent involution of corpus luteum

Which maternal adaptation occurs due to high levels of Human Chorionic Gonadotropin (HCG)?

Elevated levels of glucose for fetal use

In which trimester does maternal blood pressure typically rise during pregnancy?

3rd trimester

What is the effect of progesterone on respiratory changes during pregnancy?

Increase in tidal volume and minute volume

Why is it crucial to measure symphysis fundal height (SFH) from 24 weeks during pregnancy?

To track fetal growth and development

What maternal condition has an increased risk of venous thromboembolism during and after pregnancy?

Cardiac conditions

Why does a mother with Rh-negative blood receive anti-D injection around week 28 of pregnancy?

To protect against RBC destruction in subsequent pregnancies

What is a consequence of poor asthma control during pregnancy?

Increased risk of VTE

Which maternal complication is associated with high stress on the heart during pregnancy?

Cardiac conditions

What is a significant physiological change caused by Human Chorionic Gonadotropin (HCG)?

Doubling or >60% rise in HCG levels

Which of the following conditions is characterized by symphyseal-fundal height (SFH) greater than 2cm for the gestational age?

Fetal macrosomia

What is the most common cause of antepartum hemorrhage (APH)?

Placental abruption

Which medication is typically used to prevent seizures in women experiencing placental abruption?

Diazepam

What is the management approach for fetal compromise postpartum?

Resuscitate the mother and deliver the baby

In cases of placenta praevia, what is the recommended course of action if the placenta covers the internal os?

Perform emergency c-section

What is the appropriate management for a pregnant woman with symphyseal-fundal height (SFH) above the 90th centile on ultrasound?

Monitor for shoulder dystocia during labor

Which maternal complication can arise due to placental abruption?

Renal failure

What is the most common cause of antepartum hemorrhage?

Placental abruption

What is the primary medication used for seizure prophylaxis in cases of placental abruption?

Diazepam

What is the appropriate initial management strategy for a postpartum woman with fetal compromise?

Resuscitate mother and deliver baby urgently

Learn about the potential risks and complications associated with pregnancy, such as miscarriage, gestational diabetes, and pre-eclampsia. Understand the risk factors including maternal age, obesity, family history, and underlying health conditions. Recognize the symptoms and signs of pre-eclampsia for prompt medical attention.

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