Flashcards in Antenatal care, morbidity&mortality in the UK& globally Deck (8)
Outline the 3-delay model
-1st delay= the recognition by women and families of the need to seek care
-2nd delay=accessing care
-3rd delay=receiving appropriate care in the facility
How do you work out maternal mortality ratio (MMR)
-Number of maternal deaths/1000 live births
What must be checked at every antenatal visit in order to detect pre-eclampsia?
-Blood pressure & urine
What is a maternal 'near miss'
-A woman who nearly died but survived a complication that occurred during pregnancy, childbirth or within 42 days of termination of pregnancy
A woman who has never given birth either by choice or for any other reason
What are some risk factors for gestational diabetes mellitus ? (GDM)
-BMI above 30kg/m^2
-Previous macrosomic baby weighing 4.5kg or above
-previous gestational diabetes
-Family history of diabetes( first-degree relative with diabetes)
How can we test for GDM?
75g 2hr oral glucose tolerance test at 24-28weeks
-Don't use fasting plasma glucose