Comorbid diseases in pregnancy - Revision history

ClaireLewis at 19:01, 3 October 2019

2019-10-03T19:01:06Z

← Older revision		Revision as of 19:01, 3 October 2019
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	==[[UTI]]==		==[[UTI]]==
	*Treat all bacteriuria during pregnancy, even if patient is asymptomatic (reduces risk of pyelo)		*Treat all bacteriuria during pregnancy, even if patient is asymptomatic (reduces risk of pyelo)
	*Cystitis		*[[Cystitis]]
	**Nitrofurantoin 100mg PO BID x3-10d is agent of choice		**[[Nitrofurantoin]] 100mg PO BID x3-10d is agent of choice
	*Pyelonephritis		*[[Pyelonephritis]]
	**Admit and treat with cephalosporin or [[ampicillin]] + gentamicin		**Admit and treat with [[cephalosporin]] or [[ampicillin]] + [[gentamicin]]

	==[[DKA]]==		==[[DKA]]==
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	==[[Hyperthyroidism]]==		==[[Hyperthyroidism]]==
	*Thyrotoxicosis in pregnancy may present as hyperemesis gravidarum		*[[Thyrotoxicosis]] in pregnancy may present as [[hyperemesis gravidarum]]
	**All such patients should receive a screening TSH		**All such patients should receive a screening TSH
	*Thyroid storm is treated similarly to non-pregnant patients		*[[Thyroid storm]] is treated similarly to non-pregnant patients
			**[[Methimazole]] preferred over [[PTU]] in 2nd/3rd trimester, and lowest dose possible should be used

	==[[Hypertensive emergency]]==		==[[Hypertensive emergency]]==
	*Labetalol is agent of choice		*[[Labetalol]] is agent of choice

	==[[Thromboembolism]]==		==[[Thromboembolism]]==
	*[[Warfarin]] is contraindicated during pregnancy		*[[Warfarin]] is ''contraindicated'' during pregnancy
	*The highest daily risk of VTE is during the postpartum period		*The highest daily risk of VTE is during the postpartum period
	*[[DVT]]		*[[DVT]]
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	==[[Asthma]] Exacerbation==		==[[Asthma]] Exacerbation==
	*Treatment is similar to non-pregnant patients except only use epinephrine if critically ill		*Treatment is similar to non-pregnant patients except only use [[epinephrine]] if critically ill
	**Concern about potential vasoconstriction of uteroplacental circulation		**Concern about potential vasoconstriction of uteroplacental circulation

	==[[Sickle Cell Disease]]==		==[[Sickle Cell Disease]]==
	*Maternal complications are most common during 3rd trimester and postpartum period:		*Maternal complications are most common during 3rd trimester and postpartum period:
	**Cerebral ~~vein~~ thrombosis, pneumonia, sepsis, pyelonephritis		**[[Cerebral venous thrombosis]], [[pneumonia]], [[sepsis]], [[pyelonephritis]]

	==[[Headache]]==		==[[Headache]]==
	*Manage similar to non-pregnant patients except avoid NSAIDs		*Manage similar to non-pregnant patients except avoid [[NSAIDs]]

	==[[Seizure]]==		==[[Seizure]]==

Rossdonaldson1: Text replacement - " LE " to " lower extremity "

2019-03-30T13:45:38Z

Text replacement - " LE " to " lower extremity "

← Older revision		Revision as of 13:45, 30 March 2019
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	**Most common cause of maternal death in the developed world		**Most common cause of maternal death in the developed world
	**If suspect and lower extremity ultrasound shows DVT, treat empirically for PE		**If suspect and lower extremity ultrasound shows DVT, treat empirically for PE
	**If suspect and LE [[ultrasound]] is negative obtain CT chest		**If suspect and lower extremity [[ultrasound]] is negative obtain CT chest
	***Risk to fetus of childhood cancer from single scan is <1 case per million		***Risk to fetus of childhood cancer from single scan is <1 case per million

Mholtz: Text replacement - "==References== " to "==References== "

2017-07-24T01:12:53Z

Text replacement - "==References== " to "==References== <references/> "

← Older revision		Revision as of 01:12, 24 July 2017
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	==References==		==References==
			<references/>

	[[Category:OBGYN]]		[[Category:OBGYN]]

Rossdonaldson1: Text replacement - " US " to " ultrasound "

2016-11-13T19:34:45Z

Text replacement - " US " to " ultrasound "

← Older revision		Revision as of 19:34, 13 November 2016
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	**Most common cause of maternal death in the developed world		**Most common cause of maternal death in the developed world
	**If suspect and lower extremity ultrasound shows DVT, treat empirically for PE		**If suspect and lower extremity ultrasound shows DVT, treat empirically for PE
	**If suspect and LE US is negative obtain CT chest		**If suspect and LE [[ultrasound]] is negative obtain CT chest
	***Risk to fetus of childhood cancer from single scan is <1 case per million		***Risk to fetus of childhood cancer from single scan is <1 case per million

Rossdonaldson1: Text replacement - " ampicillin " to " ampicillin "

2016-09-08T13:48:48Z

Text replacement - " ampicillin " to " ampicillin "

← Older revision		Revision as of 13:48, 8 September 2016
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	**Nitrofurantoin 100mg PO BID x3-10d is agent of choice		**Nitrofurantoin 100mg PO BID x3-10d is agent of choice
	*Pyelonephritis		*Pyelonephritis
	**Admit and treat with cephalosporin or ampicillin + gentamicin		**Admit and treat with cephalosporin or [[ampicillin]] + gentamicin

	==[[DKA]]==		==[[DKA]]==

ClaireLewis: /* Seizure */

2016-07-12T20:35:29Z

Seizure

← Older revision		Revision as of 20:35, 12 July 2016
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	*Manage similar to non-pregnant patient		*Manage similar to non-pregnant patient
	*Aggressively treat [[status epilepticus]] (intubation)		*Aggressively treat [[status epilepticus]] (intubation)
	*[[Magnesium]] if at risk for [[eclampsia]] (>20wks gestation or <4wks postpartum		*Treat with [[Magnesium]] if at risk for [[eclampsia]] (>20wks gestation or <4wks postpartum
	**Load 4-6g IV over 15min followed by 2-3gm/hr		**Load 4-6g IV over 15min followed by 2-3gm/hr

ClaireLewis: /* Seizure */

2016-07-12T20:34:55Z

Seizure

← Older revision		Revision as of 20:34, 12 July 2016
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	==[[Seizure]]==		==[[Seizure]]==
	*Manage similar to non-pregnant pt		*Manage similar to non-pregnant patient
	*Aggressively treat status epilepticus (intubation)		*Aggressively treat [[status epilepticus]] (intubation)
			*[[Magnesium]] if at risk for [[eclampsia]] (>20wks gestation or <4wks postpartum
			**Load 4-6g IV over 15min followed by 2-3gm/hr

	==See Also==		==See Also==

ClaireLewis: /* Sickle Cell Disease */

2016-07-12T20:29:58Z

Sickle Cell Disease

← Older revision		Revision as of 20:29, 12 July 2016
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	==[[Sickle Cell Disease]]==		==[[Sickle Cell Disease]]==
	*Maternal complications are most common during 3rd trimester and postpartum period:		*Maternal complications are most common during 3rd trimester and postpartum period:
	**Cerebral vein thrombosis, ~~PNA~~, sepsis, ~~pyelo~~		**Cerebral vein thrombosis, pneumonia, sepsis, pyelonephritis

	==[[Headache]]==		==[[Headache]]==

ClaireLewis: /* Thromboembolism */

2016-07-12T20:29:09Z

Thromboembolism

← Older revision		Revision as of 20:29, 12 July 2016
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	==[[Thromboembolism]]==		==[[Thromboembolism]]==
	*~~Coumadin~~ is contraindicated during pregnancy		*[[Warfarin]] is contraindicated during pregnancy
	*The highest daily risk of VTE is during the postpartum period		*The highest daily risk of VTE is during the postpartum period
	*[[DVT]]		*[[DVT]]
	**90% occur in the L leg		**90% occur in the left leg
	*[[PE]]		*[[Pulmonary embolism in pregnancy]]
	**Most common cause of maternal death in the developed world		**Most common cause of maternal death in the developed world
	**If suspect and ~~LE US~~ shows DVT treat empirically for PE		**If suspect and lower extremity ultrasound shows DVT, treat empirically for PE
	**If suspect and LE US is negative obtain CT chest		**If suspect and LE US is negative obtain CT chest
	***Risk to fetus of childhood cancer from single scan is <1 case per million		***Risk to fetus of childhood cancer from single scan is <1 case per million

ClaireLewis: /* DKA */

2016-07-12T20:25:49Z

DKA

← Older revision		Revision as of 20:25, 12 July 2016
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	==[[DKA]]==		==[[DKA]]==
	*Any pregnant diabetic presenting to ED who is ill appearing and/or ~~w/ BS~~ > 180 should be screened for DKA		*Any pregnant diabetic presenting to ED who is ill appearing and/or has blood glucose > 180 should be screened for DKA
	*Management guidelines for pregnant women w/ DKA are the same as for nonpregnant patients		*Management guidelines for pregnant women with DKA are the same as for nonpregnant patients

	==[[Hyperthyroidism]]==		==[[Hyperthyroidism]]==