Renal Disease in Pregnancy
Renal change Mechanisms for change Clinical implications 80 % increase in renal blood flow (RBF) 40–60 % increase in glomerular filtration rate (GFR) Less efficient tubular resorption Increased solute excretion…
Thyroid Disease
Fig. 14.1 Thyrotropin-releasing hormone (TRH); thyroid-stimulating hormone (TSH); tetraiodothyronine (T4); triiodothyronine (T3) Conditions that increase T3 and T4 production result in hyperthyroidism and those that decrease production result in hypothyroidism….
Management Principles of the Critically Ill Obstetric Patient
© Springer Science+Business Media New York 2015Karen Rosene-Montella (ed.)Medical Management of the Pregnant Patient10.1007/978-1-4614-1244-1_2 2. Management Principles of the Critically Ill Obstetric Patient Elie Zouein1 and Ghada Bourjeily2, 3 (1) Department of Medicine, Respiratory Intensive Care…
Thrombophilia and Thrombosis
Maternal risk factors Age >35 years BMI > 30 kg/m2 Black race Cigarette smoker IV drug user Medical comorbidities: Infection, dehydration, diabetes, malignancy, autoimmune disease, varicose veins, sickle cell, nephrotic syndrome, hypertension…
Cardiac Disease
High-risk conditions Intermediate-risk conditions Low-risk conditions Severe systemic ventricular dysfunction (LVEF < 30 % OR NYHA III and IV) Uncorrected cyanosis, repaired complex CHD Repaired simple congenital heart disease without residual cardiac…
The Care and Management of Rheumatologic Disease in Pregnancy
Autoimmune disease Behavior during pregnancy Risk of active maternal disease on pregnancy Drugs used during the nonpregnant state Drugs that can be used during pregnancy Rheumatoid arthritis Improves in 50–75…
Diabetes and Pregnancy
Fetal and infant risks Maternal risks Miscarriage or stillbirtha Congenital anomaliesa • Caudal regression syndrome • CNS abnormalities—spina bifida, anencephaly, hydrocephalous • Cardiac Macrosomia Organomegaly Hypoxic events including intrauterine fetal demise Operative delivery…
Headaches and Seizures
Cause of headache Common features Treatment in pregnancy Treatment postpartum Migraine Frontal (often unilateral), prolonged, and pulsatile Other: nausea, vomiting, and aversion to loud noise, bright light, and physical activity…
Mood Disorders
A. Five (or more) of the following symptoms have been present during the same 2-week period and represent a change from previous functioning; at least one of the symptoms is either…
