I am a Peds RN that will be cross-trained for postpartum soon. I have been watching your videos since nursing school and came back to brush up on OB. Your videos are a life saver! I just joined your patreon. Thanks again!
(On Wednesday of March 29, 2023). On the Matter of Pre-Ecampsia (Updated 2023) by MD Paul W. Bolin (Creator of CRASH! Medical Review Series): 1) Gynecology and Pre-Eclampsia (Hypertension and Proteinuria of Pregnancy) and Obstetrics-Gynecology Therein: 1) Preeclampsia is Hypertension (140/90 mmHg) and Proteinuria (> 300 mg/dL) in a Gestating Female usually in Second Trimester (20 Week to 4-6 Week Postpartum Possible) where the Vascular Endothelium and Vasospasm therein can have Pregnancy complications without an Aetiology (Idiopathic often suggests Alloimmunogenic Hypersensitivity); Risk Factors are 1) Nulliparity (Paternal Particularity), 2) Extremes of Age; 3) Multiple Gestation; 4) Chronic Hypertension; 5) Diabetes Mellitus (Type I and II); 6) Renal Disease; 7) Paternal Mother History of Pre-Eclampsia; 8) Parental Ethnic discordance; 9) African American Ethnicity; Dx: 1) CBC; 2) CMP; 3) Hypertension; Tx via Delivery (Induced Labor) at 37th Week or Elective C-Section; Management (Mx): 1) PO Antihypetension via Labetolol; 2) IV Magnesium Sulfate (Anti-Epileptic) Prophylaxis or Treatment; 3) Attempting Vaginal Delivery; 2) Gestational Hypertension is simple Hypertension without Proteinuria usually before 20 Weeks of Gestation; 3) Chronic Hypertension in Pregnancy (Proteinuria Negative Preganacy or Stable Proteinuria); 4) Eclampsia is Hypertension along with Seizures either Postpartum or Peripartum (Last Trimester Usually); 5) HELLP Syndrome is Hemolysis (LDH Elevation and High Bilirubin) Elevated Liver Enzyme (Liver Inflammation) and Low Platelet Count (Otherwise Thrombocytopenia), a complication of Eclampsia/Pre-Eclampsia; ......TBC. MD Paul W. Bolin, es geht sehr gut zu lernen mit Ihnen. Heil!
When I had my youngest, I was told I had "severe pre-eclampsia" but they never tested my urine. When I asked about it, she (I don't remember if it was a nurse or ob/gyn) said the criteria had changed. This was at the end of November 2021.
IDK My BP was 186/167 so they said that was enough. 🤷♀ Stuck me on that magnesium shit. This time around (last weekend) they did test it and I was spilling protein. IDK seems almost like you get as many different answers as people you ask. It's irritating. @@TheTechNerd-s7g
You're saving lives Sir. I'm making sure my whole class watch your videos
The best thing is to re-watch your videos in an update form 😊
I am a Peds RN that will be cross-trained for postpartum soon. I have been watching your videos since nursing school and came back to brush up on OB. Your videos are a life saver! I just joined your patreon. Thanks again!
2:05 Occurrence of new-onset hypertension with proteinuria at < 20 weeks' gestation is suggestive of gestational trophoblastic disease.
(On Wednesday of March 29, 2023). On the Matter of Pre-Ecampsia (Updated 2023) by MD Paul W. Bolin (Creator of CRASH! Medical Review Series): 1) Gynecology and Pre-Eclampsia (Hypertension and Proteinuria of Pregnancy) and Obstetrics-Gynecology Therein: 1) Preeclampsia is Hypertension (140/90 mmHg) and Proteinuria (> 300 mg/dL) in a Gestating Female usually in Second Trimester (20 Week to 4-6 Week Postpartum Possible) where the Vascular Endothelium and Vasospasm therein can have Pregnancy complications without an Aetiology (Idiopathic often suggests Alloimmunogenic Hypersensitivity); Risk Factors are 1) Nulliparity (Paternal Particularity), 2) Extremes of Age; 3) Multiple Gestation; 4) Chronic Hypertension; 5) Diabetes Mellitus (Type I and II); 6) Renal Disease; 7) Paternal Mother History of Pre-Eclampsia; 8) Parental Ethnic discordance; 9) African American Ethnicity; Dx: 1) CBC; 2) CMP; 3) Hypertension; Tx via Delivery (Induced Labor) at 37th Week or Elective C-Section; Management (Mx): 1) PO Antihypetension via Labetolol; 2) IV Magnesium Sulfate (Anti-Epileptic) Prophylaxis or Treatment; 3) Attempting Vaginal Delivery; 2) Gestational Hypertension is simple Hypertension without Proteinuria usually before 20 Weeks of Gestation; 3) Chronic Hypertension in Pregnancy (Proteinuria Negative Preganacy or Stable Proteinuria); 4) Eclampsia is Hypertension along with Seizures either Postpartum or Peripartum (Last Trimester Usually); 5) HELLP Syndrome is Hemolysis (LDH Elevation and High Bilirubin) Elevated Liver Enzyme (Liver Inflammation) and Low Platelet Count (Otherwise Thrombocytopenia), a complication of Eclampsia/Pre-Eclampsia; ......TBC. MD Paul W. Bolin, es geht sehr gut zu lernen mit Ihnen. Heil!
Finishing up AG-ACNP school this semester. We're having our first round of obstretrics studies. THANK YOU!
Thanks for this update. I was beginning to wonder if you'll ever do more OB videos.
Amazing videos! thank youu😊😃
Great video
When I had my youngest, I was told I had "severe pre-eclampsia" but they never tested my urine. When I asked about it, she (I don't remember if it was a nurse or ob/gyn) said the criteria had changed. This was at the end of November 2021.
There is no way. They must test the urine.
IDK My BP was 186/167 so they said that was enough. 🤷♀ Stuck me on that magnesium shit.
This time around (last weekend) they did test it and I was spilling protein.
IDK seems almost like you get as many different answers as people you ask. It's irritating. @@TheTechNerd-s7g
God bless 🙏🏻
Why isn't hydrazine a choice? Here in Nigeria we use Hydralazine as an antihypertensive
So if mild preeclampsia, preterm, and stable, we deliver at 37 weeks without giving magnesium?
If mild and term, no labetalol?
This is confusing.
Ok, how can a mild preeclampsia considered mild if it is unstable?
4:13 Isn't the patient at a lower risk of pre-eclampsia if she gets pregnant with the same father again?
I thought the same actually the risk is higher in first pregnancy with a new partner not second pregnancy with the same partner
Wow