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PREGNANCY COMPLICATIONS - Coggle Diagram
PREGNANCY COMPLICATIONS
Hyperemesis Gravidarum
DEF:
- Severe N&V starting 7-9 weeks of preg
- Causes:
-dehydration
-Elec imbalance
-WL (>5%)
MANAGEMENT - "F CAT"
- Fluids - Saline or Hartmanns (Avoid dextrose-only fluids)
- Corticosteriods
- Antiemetics
- Thiamine
-If severe - Enteral feeding or preg termination
-Use PUQE to guide Tx
Ix
- Bedside: Urinalysis
-Ketonuria: Confirms dehydration.
- Bloods: FBC,
-U&Es -> ↓Na, ↓K, ↓Cl: Reflect dehydration and hypokalemia.
-LFT -> ↑AST (50-200 U/L): Indicates mild liver dysfunction.
-TFTs -> ↑Free T4, ↓TSH: Thyroid function to exclude thyrotoxicosis.
- Imaging: US -> to r/o multiple pregnancies or trophoblastic disease
- PUQE score (Pregnancy-Unique Quantification of Emesis)-> Quantifies severity of nausea and vomiting.
KEY SYMP
- 1) Persistent N&V
- 2) HypoKalemia, Ketonuria & HypoChloraemic Alkalosis
- 3) Cant lead to severe complications like Wernickes Encephalopathy, fetal growth restriction & neurodisability
-
-
Obesity in pregnancy
Ix
- BEDSIDE ( Antenatal screen)
-BM to screen for GDM & pre-eclampsia
-Record BMI at booking - guides risk stratification & planning
- BLOODS:
-FBC -?infection markers
-U&E - Renal F
- IMAGING
-US - Monitor fetal growth and detect anomalies
Mx
- Antenatal monitoring of:
-BMI
-Diabetic advice
-Fetal surveillance
-Screen for complications (G-P-I-C – GDM, Preeclampsia, Infections, Cesarean)
- Delivery planning
DEF
- BMI≥30 in pregnancy
- Ass w ↑ maternal & fetal risks
Maternal risks
- ANTENATAL
-Gestational Diab
-HT
-Pre-eclampsia
- INTRAPARTUM
-Prolonged labour
-C-section
-Anaesthetic complications
- POSTPARTUM
-↑Infections
-Thrombosis
Fetal risks
- Miscarriage
- Still birth
- Congenital anomalies
- Macrosomia