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Ebook Self assessment amp; review obstetrics (9/E): Part 2

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Nội dung chi tiết: Ebook Self assessment amp; review obstetrics (9/E): Part 2

Ebook Self assessment amp; review obstetrics (9/E): Part 2

Hypertensive Disorders in Pregnancy18DefinitionHypertension In pregnancy is defined as systolic BP 2 1-10 linn of Hg or diastolic BP > 90 nnn of Hg on

Ebook Self assessment amp; review obstetrics (9/E): Part 2n two occasions atleast 6 hours but no more than 7 days apart.Diastolic BP is determined by the disappearance of sound (Korotkotf ph V). Korotkoff V I

s chosen as opposed to Korotkoff IV (muffing) as it Is more reproducible and shows better correlation with the DBP in pregnancy. For accuracy, mercury Ebook Self assessment amp; review obstetrics (9/E): Part 2

sphygmomanometer is preferred over automated ones.1Pregnancyinduccd hypertensionChronic hypertension in pregnancy n(Means-a normotensive patient has

Ebook Self assessment amp; review obstetrics (9/E): Part 2

conceived and due to some placentalLiterally means a hypertensive femalepathology, her B'P increases)has conceived»1ị PreeclampsiaGestational Hyperten

Hypertensive Disorders in Pregnancy18DefinitionHypertension In pregnancy is defined as systolic BP 2 1-10 linn of Hg or diastolic BP > 90 nnn of Hg on

Ebook Self assessment amp; review obstetrics (9/E): Part 2ria• Proteinuria (>300 mg in 24 hour urinecollection or >30 mg/dl in a random urine♦sample or > + 1 on.)+• B'p does not come back to normal• B'P comes

back to normal within 12within 12 weeks of delivery.weeks of deliveryNote: 1. In dipstick = trace = 0.15 to 0.3 g.'L proteinurial+ = 0.3g/L2+ = lg/L3 Ebook Self assessment amp; review obstetrics (9/E): Part 2

♦ = 3 g’l.2Continued 24 hour urine protei measurement is gold standard in diagnosis of proteinuria.3Proteinuria of preeclampsia is non selective.A dil

Ebook Self assessment amp; review obstetrics (9/E): Part 2

uted or concentrated urine or an aerallne specimen can give false should be dipstick.Concept of Delta Hypertension: It Is condition where B/P of a pre

Hypertensive Disorders in Pregnancy18DefinitionHypertension In pregnancy is defined as systolic BP 2 1-10 linn of Hg or diastolic BP > 90 nnn of Hg on

Ebook Self assessment amp; review obstetrics (9/E): Part 2yndrome, Inspite of being normotensive.Risk Factors for Pre-eclampsia•Prirnigravida: Young or elderly (first time exposure to chorionic villi)•Family

history: Hypertension, or pre-eclampsla in previous pregnancy250 Self Assessment & Review: Obstetrics•Placental abnormalities:-Hyperplacentosis: Exces Ebook Self assessment amp; review obstetrics (9/E): Part 2

sive exposure to chorionic villi—(molar pregnancy twins, diabetes)-Placental Ischemia.•Obesity: BM1 >35 kg/in2. Insulin resistance.•Pre existing vascu

Ebook Self assessment amp; review obstetrics (9/E): Part 2

lar disease•New paternity

Hypertensive Disorders in Pregnancy18DefinitionHypertension In pregnancy is defined as systolic BP 2 1-10 linn of Hg or diastolic BP > 90 nnn of Hg on

Hypertensive Disorders in Pregnancy18DefinitionHypertension In pregnancy is defined as systolic BP 2 1-10 linn of Hg or diastolic BP > 90 nnn of Hg on

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