tailieunhanh - Ebook Self assessment & review obstetrics (9/E): Part 2

Part 2 book “Self assessment & review obstetrics” has contents: Hypertensive disorders in pregnancy, pregnancy in rh-negative women, liver, kidney and GI diseases in pregnancy, infections in pregnancy, gynaecological disorders in pregnancy, tuberculosis, epilepsy and asthma in pregnancy, drugs in pregnancy and high risk pregnancy, and other contents. | e m om e. c re m fre ks oo ks oo • Rise in B/P seen before 20 weeks + • No proteinuria m m eb eb eb m e. e. fre fre ks oo Gestational Hypertension • Like Preeclampsia but no proteinuria is associated e. eb eb oo oo ks ks fre fre ks fre e. co co e. co • B/P does not come back to normal within 12 weeks of delivery. oo eb m m m co m + e. fre co m co m Literally means a hypertensive female has conceived e. e. fre Preeclampsia • Rise in B/P seen after 20 weeks of pregnancy. + • Proteinuria (>300 mg in 24 hour urine collection or >30 mg/dl in a random urine sample or > + 1 on.) + • B/P comes back to normal within 12 weeks of delivery oo ks 2. Continued 24 hour urine protei measurement is gold standard in diagnosis of proteinuria. 3. Proteinuria of preeclampsia is non selective. A diluted or concentrated urine or an aeraline specimen can give false should be dipstick. Concept of Delta Hypertension: It is condition where B/P of a pregnant patient remains within normal range but a cutely increases from her own baseline levels. Such females can develop eclamptic seizures or HELLP syndrome, inspite of being normotensive. m fre ks m eb oo oo eb m m e. e. ks fre ks oo eb m co co fre fre Primigravida: Young or elderly (first time exposure to chorionic villi) Family history: Hypertension, or pre-eclampsia in previous pregnancy ok s eb o yy e. Risk Factors for Pre-eclampsia yy co m m e. co m m m eb m oo ks f eb eb m m co Chronic hypertension in pregnancy Note: 1. In dipstick = trace = to g/L proteinuria        1 + = g/L        2 + = 1 g/L         3 + = 3 g/L m e. co m m co e. re ks f oo oo eb m co m Pregnancyinduced hypertension ks oo eb m co m oo ks f eb eb m co m e. ks fre re sf oo k eb m co m m 18 Hypertension in pregnancy is defined as systolic BP ≥ 140 mm of Hg or diastolic BP ≥ 90 mm of Hg on two occasions atleast 6 hours but no more than 7 days apart.

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