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Obstetric critical care Clinical problems 2013
Obstetric critical care Clinical problems 2013

... The critically ill obstetric patient presents a unique clinical challenge to the intensivist because of maternal physiological adaptations to pregnancy, pregnancyspecific conditions which may require critical care management and also the presence of a fetus whose well-being is linked to the mother. ...
Pre-Eclampsia Management in ICU (Liverpool)
Pre-Eclampsia Management in ICU (Liverpool)

... A team approach, involving obstetrician, midwife, neonatologist, anaesthetist and ICU staff specialist provides the best chance of achieving a successful outcome for mother and baby. Preeclampsia is a progressive disorder that will inevitably worsen if pregnancy continues. Delivery is the definitive ...
Elizabeth`s DM Questions
Elizabeth`s DM Questions

... to have 1 hr before eating, 2hrs after eating, and before bedtime 1hr before eating: 30-90mg/dl- before 2 hours after eating: 100-140mg/dl after Bedtime: 140- 180mg/dl @HS 57) What can we teach our patients to avoid false blood sugar readings? Teach to get enough blood on the strip. Old meters need ...
PRE * Licensure EXAM ORIENTATION COURSE
PRE * Licensure EXAM ORIENTATION COURSE

... fasting and 2-hour postprandial glucose levels by adhering to the diet recommendations of her physician. She asks the physician what effect her type of diabetes can have on her or her fetus. Which of the following is the most appropriate response? a) Gestational diabetes is associated with fetal ano ...
5 mg - Pediatric Nursing
5 mg - Pediatric Nursing

... • Low range: 17 kg x 30 mg = 510 mg/day • High range: 17 kg x 50 mg = 859 mg/day Safe range is 510 to 859 mg/day or 170 to 286 per dose. If the order is to give the drug q 8 hours you would need to divide the safe range by 3 or multiple the q 8 hour dose x 3. ...
Small Bowel Obstruction-Medical Nutrition Therapy Case Study
Small Bowel Obstruction-Medical Nutrition Therapy Case Study

... Miller G, Boman J, Shrier I, and Gordon PH. Etiology of Small Bowel Obstruction. American Journal of Surgery, 2000; 180:33-36. Kulaylat MN and Doerr RJ. Small Bowel Obstruction Surgical Treatment: Evidence- based and Problem-oriented. National Library of Medicine, National Institutes of Health, 2001 ...
Chapter 178 - Acute Complications of Pregnancy
Chapter 178 - Acute Complications of Pregnancy

... before 20 weeks of gestation. Fetal demise after 20 weeks of gestation or when the fetus is more than 500 g is considered premature birth. Loss of early pregnancy, defined as detection of human chorionic gonadotropin (hCG) within 6 weeks of the last normal menstrual period, occurs in approximately 2 ...
Acute fatty liver of pregnancy
Acute fatty liver of pregnancy

... associated with male foetuses (3:1 ratio). It does not appear to have any racial or geographical predilections. A comprehensive review of the UK Obstetric Surveillance System (UKOSS) found 57 cases in 1,132,964 maternities. Nearly a fifth of these were in twin pregnancies, confirming a much greater ...
Endocrine 251 Handout LS Fall 2014
Endocrine 251 Handout LS Fall 2014

... o Usually begins as insulin resistance, cells do not use insulin properly o Associated with older age, obesity, family history of diabetes, prior history of gestational diabetes, impaired glucose tolerance, physical inactivity, and race/ethnicity. o Most important risk factor is family history and o ...
Preview the material
Preview the material

... shorter hospital stays when compared to infants exposed to methadone. No significant difference was found with respect to any serious maternal or neonatal adverse events (e.g., abnormal fetal health, neurological symptoms; Jones et al., 2010). Methadone and buprenorphine are classified as Pregnancy ...
Liver Disease and Pregnancy - American College of Gastroenterology
Liver Disease and Pregnancy - American College of Gastroenterology

... of iodine which do not appear teratogenic in animal studies. However, neonatal hypothyroidism has been associated with iodinated contrast agent exposure during pregnancy (8). Gadolinium is not recommended as it crosses the placenta and is excreted by the fetal kidneys into the amniotic fluid where i ...
Environmental Causes of Human Congenital
Environmental Causes of Human Congenital

... unknown. There are a number of important clinical rules that are important for clinicians to use when determining the cause of their patient’s congenital malformations: 1. No teratogenic agent should be described qualitatively as a teratogen, because a teratogenic exposure includes not only the agen ...
NRC Perinatal Transmission and Prevention of HIV
NRC Perinatal Transmission and Prevention of HIV

...  All cases of ARV drug exposure during pregnancy should be reported to the Antiretroviral Pregnancy Registry at: http://www.APRegistry.com. (AIII)  Efavirenz (EFV):  Nonpregnant women of childbearing potential should undergo pregnancy testing before initiation of EFV and receive counseling about ...
Xenical - Genentech
Xenical - Genentech

... XENICAL is indicated for obesity management including weight loss and weight maintenance when used in conjunction with a reduced-calorie diet. XENICAL is also indicated to reduce the risk for weight regain after prior weight loss. XENICAL is indicated for obese patients with an initial body mass ind ...
U.S. Public Health Service Perinatal Guidelines
U.S. Public Health Service Perinatal Guidelines

...  All cases of ARV drug exposure during pregnancy should be reported to the Antiretroviral Pregnancy Registry at: http://www.APRegistry.com. (AIII)  Efavirenz (EFV):  Nonpregnant women of childbearing potential should undergo pregnancy testing before initiation of EFV and receive counseling about ...
Chapter 10 - Women and HIV
Chapter 10 - Women and HIV

... transplant, or receiving clotting factor concentrate for treatment of a clotting disorder. Immunoglobulin is effective for both pre-exposure and postexposure prophylaxis, does not pose a risk to either a pregnant woman or her fetus, and should be administered during pregnancy if indicated. Nosocomia ...
Becoming parents. - Universitätsspital Basel
Becoming parents. - Universitätsspital Basel

... hospital). Our team strives to provide you with the greatest possible level of continuity and care from the start of the pregnancy to its conclusion. We assist you during your pregnancy and help you give your child the best possible start in life. And we continue to assist you after your child has b ...
Preventing Maternal and Neonatal Harm during Vacuum
Preventing Maternal and Neonatal Harm during Vacuum

... that maternal morbidity increased significantly after 3 hours of the second stage of labor, and increased further after 4 hours. However, there was no indication of neonatal morbidity where increased fetal surveillance and timely obstetric intervention were used.9 Therefore, absolute times are not a ...
SD-15 Outline - American Academy of Optometry
SD-15 Outline - American Academy of Optometry

... Diabetes is Characterized by Altered Insulin Signaling Resulting in: ...
Induction and Augmentation of Labour Induction
Induction and Augmentation of Labour Induction

... 8. Protocol for Induction and Augmentation ......................................................................................... 9 9. Complications and Management .................................................................................................... 11 10. Documentation and communi ...
Physical Examination - Bright Futures
Physical Examination - Bright Futures

... Why Is It Important to Assess Growth and Nutrition During the Physical Examination? Growth measurements correlate directly to nutritional status and can indicate whether a child’s health and well-being are at risk.1 Deviations from normal growth patterns may be familial patterns but may indicate med ...
Biliopancreatic Diversion - Blue Cross Blue Shield of Nebraska
Biliopancreatic Diversion - Blue Cross Blue Shield of Nebraska

... postoperatively to reduce the formation of new gallstones. Prophylactic cholecystectomy (cholecystectomy performed on an asymptomatic patient) is, therefore, not warranted and requests for prophylactic cholecystectomy require separate authorization. • Although GERD is associated with severe obesity, ...
Chapter 36 Insulin and oral hypoglycemic agents
Chapter 36 Insulin and oral hypoglycemic agents

... • Overeating or excessive weight gain • Antibodies that destroy beta cells (in people with type 1, misdiagnosed as type 2) • Progressive loss of beta cell function over many years ...
Successful pregnancy in a patient with Ebstein`s anomaly
Successful pregnancy in a patient with Ebstein`s anomaly

... The likeliest reasons for such women not having children are the severity of their symptoms, or medical advice against starting, or perhaps continuing, a pregnancy. Our patient had one pregnancy terminated because of her heart lesion even though she was symptomless at the time. There are several pos ...
Full Prescribing Information
Full Prescribing Information

...  To be inserted by a trained healthcare provider using strict aseptic technique. Follow insertion instructions exactly as described. (2)  Patient should be re-examined and evaluated 4 to 6 weeks after insertion; then yearly or more often if clinically indicated. (2.2) --------------------- DOSAGE ...
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Prenatal nutrition



Nutrition and weight management before and during pregnancy has a profound effect on the development of infants. This is a rather critical time for healthy fetal development as infants rely heavily on maternal stores and nutrient for optimal growth and health outcome later in life. Prenatal nutrition addresses nutrient recommendations before and during pregnancy. Prenatal nutrition has a strong influence on birth weight and further development of the infant.A common saying that 'a woman is eating for two while pregnant' implies that a mother should consume twice as much during pregnancy. However, in reality this is not true. Although maternal consumption will directly affect both herself and the growing fetus, over eating excessively will compromise the baby's health as the infant will have to work extra hard to become healthy in the future. Compared with the infant, the mother possesses the least biological risk. Therefore, excessive calories, rather than going to the infant, often get stored as fat in the mother. On the other hand, insufficient consumption will result in lower birth weight.Maintaining a healthy weight during gestation lowers adverse risks on infants such as birth defects, as well as chronic conditions in adulthood such as obesity, diabetes, and cardiovascular disease (CVD). Ideally, the rate of weight gain should be monitored during pregnancy to support the most ideal infant development.
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