l OM oAR cP SD 24 49 0 29 4

l OM oAR cP SD | 24 49 0 29 4

Medical Conditions Iron Deficiency Anemia ➢ Provider will prescribe FE supplements Take FE Supplement that is rich in Vitamin C (i.e orange juice) Gestational Diabetes (GDM) ➢ If a patient has GDM during pregnancy, it increases her risk of developing DM after her pregnancy ➢ Poses risk to the fetus. Provider may want to do BPP or NST to monitor for complications ➢ Most oral anti-diabetic meds are contraindicated for pregnancy so woman will have to use insulin to monitor sugar levels

➢ When to test: 24 – 28 weeks of gestation

• Start with 1-hour glucose tolerance test

▪ No fasting required ▪ Give patient 50g of oral glucose, then 1 hour later, test glucose levels ▪ Positive screen of 130-140mg/dl or greater indicates need for additional testing (3 Hr OGTT)

• 3 Hr OGTT

▪ Requires fasting ▪ Avoid caffeine and smoking ▪ Will take fasting glucose level, then will be given 100g of glucose and will test glucose at 1hr, 2hrs, and 3hrs Gestational Hypertension (GHTN) Caused by vasospasm contributing to poor tissue perfusion ➢ Spectrum of GHTN

• GHTN after 20th week of pregnancy, if a woman has a BP over 140/90 recorded at

least twice, 4-6 hrs apart within a one-week period of time, the patient is POSITIVE for GHTN. There is NO PROTEIN in urine.

• Mild Preeclampsia

▪ GHTN (BP 140/90)

▪ Proteinuria (Level 1+) ▪ Edema may not be present ATM

• Severe Preeclampsia

▪ BP >/=160/100 + Proteinuria (Level 3+) ▪ Creatinine levels will begin to rise and will be >1.2 ▪ May experience headache/blurred vision/hyperreflexia/peripheral edema/Epigastric pain

• Eclampsia

▪ Severe Preeclampsia + Seizures

• HELLP

▪ Hemolysis: resulting in anemia and jaundice

▪ Elevated Liver Enzymes: ALT & AST Levels will be high

• Manifestations: Epigastric pain, nausea, vomiting

▪ Low Platelets: Platelet count < 100k

• Manifestations:

• Thrombocytopenia
• Abnormal bleeding and clotting time
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