7-27-10 OB Final Barry
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| Most common cause of jaundice | Viral hepatitis
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| How do you avoid fetus from exposure to hepatitis | C section
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| persistant severe form of N/V | Hyperemesis Gravidarum
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| Hyperemesis Gravidarum N/V last how long | 12 - 16 wks
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| Ischemic hepatocellular injurgy is linked to | Hyperemesis Gravidarum
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| 2nd most common cause of jaundice | Intrahepatic Cholestais
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| S/S of Intrahepatic Cholestais | Puritus, elevated bile acid levels, and spontaneous relief after 2-3 postpartum
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| normal ALT value | male 10-30, female same
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| Normal AST level | Male 8-46, female 7-34 U/L
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| Normal LDH level | Male and female = 50-150
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| Liver dz most common in twins and triplets | AFL = acute fatty liver
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| Acute Fatty Liver of Pregnancy occurs when | last trimester or immediate postpardum
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| what are 3 important S/S of fatty liver | > 34 wks, hypoglycemic, and hyperammonemia
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| Profound hypoglycemia in fatty liver is becuse of | secondary to impaired hepatic glycogenolysis
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| what is the definative treatment for fatty liver | prompt fetal delivery
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| fetal death occurs in fatty liver dz because of | utero-placenta insufficiency
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| What trimesters do the following occur: HELLP, Acute fatty liver, viral hepatitis, hyperemesis gravdarum, intrahepatic cholestasis | HELLP = 3rd & postpard, Acute fatty liver = 3rd & postpard, viral hepatitis = anytime, hyperemesis gravdarum = 1st, intrahepatic cholestasis = 2nd or 3rd
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| Hyperemesis has what fetal complication | Low birth weight
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| Interhepatic cholestasis has what fetal complication | prematurity, stillbirth
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| Acute fatty liver, HELLP, and preeclampsia/eclampsia cause what complication | Increased maternal and fetal mortality
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| Obese causes what fetal outcomes | Higher NICu admissions and 10 fold increase in perinatal mortaliy
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| What is good BMI | 20-25 (wt in kg / height in meters squared)
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| What is BMI for obesity | > 30
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| What BMI is morbid | > 35
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| What is IBW | IBW in kg = 22 x ht in meters squared
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