( From Hypertension in pregnancy: diagnosis and management NICE guideline, 2019) a full assessment should be carried out in a secondary care setting by a trained healthcare professional. Antihypertensive of choice- As for chronic Hypertension. Timing of delivery- as for chronic hypertension. Postpartum care- As for chronic hypertension. For Women who did not take antihypertensive […]
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PRECOG GUIDELINE recommendations This guideline has been made to guide what action should be taken if a pregnant woman presents with New onset Hypertension , Proteinuria or Symptoms. NEW ONSET HYPERTENSION WITHOUT PROTEINURIA DBP 90 or more, but less than 100, No symptoms Hospital Step Up assessment within 48 hours DBP 90 or more, but
Skin Conditions in Pregnancy – Medical Conditions in Pregnancy Due to the immune changes during pregnancy, a woman’s susceptibility to some skin conditions increases during pregnancy. The hormonal and physiological changes in pregnancy also lead to skin changes( like melasma, acne,changes in nails and hair) . There are three main Dermatoses which are specific to
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Epilepsy in pregnancy – Medical Conditions in Pregnancy Abbreviations used- AED– Anti Epileptic Drug WWE – Women with epilepsy SUDEP– Sudden Unexpected Death in Epilepsy Epilepsy in pregnancy has received much attention in the 2020 MBRRACE (Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries in UK) report. According to the report the number
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Summary of the RCOG guideline. ( The recommendation in the guideline are based on differing levels of evidence. For the sake of conciseness, the levels of evidence have not been mentioned) Herpes Simplex infection in the neonate may be – Localized or Disseminated. Localized Infection may be a. Skin/Eyes/Mouth or b. CNS infection Incidence of
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The Management of Ovarian Hyperstimulation Syndrome ( OHSS) – Subfertility, Early Pregnancy Summary of Green-top Guideline No. 5 OHSS is a complication of fertility treatment ( pharmacological ovarian stimulation to increase the number of oocytes) . Types of OHSS- Early OHSS – usually presents within 7 days of the hCG injection- usually associated with an
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Summary of the RCOG Guideline ( GTG 53, July 2015) Female genital mutilation- refers to ‘all procedures involving partial or total removal of the external female genitalia or other injury to the female genital organs for non-medical reasons. Practized as a tradition in several countries, FGM is considered a human rights violation and a form
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Bacterial Sepsis in Pregnancy Green top Guideline No. 64a April 2012- Summary and Discussion Severe sepsis with acute organ dysfunction has a mortality rate of 20 to 40%. Septic Shock has a mortality rate of 60%. Early recognition and initiation of treatment can improve survival rates. Disease progression may be much more rapid in pregnant
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Headache is a common source of trouble -to the pregnant women and the Obstetrician alike. There is a very informative article in The Obstetrician and Gynecologist. So basically , evaluation of a woman presenting with headache in pregnancy should focus on ruling out the sinister causes of headache. ( ‘Red flags’) The History should include-
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Bleeding or pain in early pregnancy can be stressful for the patient. As clinicians, we need to diagnose the condition and to be able to plan further management. This section deals with diagnosis of miscarriage. A further section dealing with ‘Ectopic pregnancy’ and ‘Pregnancy of Unknown Location’ will be added later. In talking to a
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