HNFE 2014 Lecture Notes - Lecture 5: Gestational Hypertension, Gestational Diabetes, Glucose Tolerance Test
16 Jul 2016
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Roughly ____ of obese and ____ of normal wt. persons have 2 or more metabolic abnormalities which increase disease risk, like gdm and hypertensive disorders. Today, roughly ____ of american women 20-39 years-old are obese, compared to ____ in. Therefore, today"s higher rates of obesity (esp. increased visceral fat) lead to more metabolic disorders/complications during pregnancy and beyond. Example: hypertensive disorders of pregnancy are the ____ leading cause of maternal mortality in the us, affecting _______ of pregnancies (sometimes leading to stillbirth, fetal and newborn deaths). In general, any increase in blood pressure during pregnancy increases the risk of lbw and preterm delivery. Gestational ht = after 20 wks gestation; returns to normal by 12 wks post-pregnancy (pp) Preeclampsia = usually after 20 wks, pregnancy-specific syndrome of ht and in most cases proteinuria. _________________ (which can progress to eclampsia and potentially cause seizures, kidney damage, etc. to mother) __ plasma volume expansion (hb > 13 g/dl)
