Detail (Long)
Consider risk for adverse health events due to pregnancy. Medical conditions that might make pregnancy an unacceptable health risk include:<br>
◦ <b>CA:</b> breast, endometrial, ovarian, hepatoma<br>
◦ <b>Neph:</b> CKD w/ nephrotic syndrome, on hemodialysis, or on peritoneal dialysis<br>
◦ <b>CV/Resp:</b> DVT/PE, HTN (systolic ≥160 or diastolic ≥100 mm Hg), IHD, peripartum cardiomyopathy, complicated valvular heart dz, CF, stroke<br>
◦ <b>Hepatic:</b> hepatocellular adenoma, schistosomiasis w/ liver fibrosis, decompensated cirrhosis<br>
◦ <b>DM:</b> insulin-dependent; >20-yr duration; or w/ nephropathy/retinopathy/neuropathy/other vascular dz<br>
◦ <b>Surgery hx:</b> bariatric surgery in past 2y, solid organ txp in past 2y<br>
◦ <b>ID:</b> HIV (not clinically well or not on ART); TB; schistosomiasis w/ liver fibrosis<br>
◦ <b>Neuro:</b> epilepsy, DM neuropathy, stroke<br>
◦ <b>Heme:</b> sickle cell dz, thrombogenic mutations<br>
◦ <b>Other:</b> GTD, SLE<br>
◦ <b>CA:</b> breast, endometrial, ovarian, hepatoma<br>
◦ <b>Neph:</b> CKD w/ nephrotic syndrome, on hemodialysis, or on peritoneal dialysis<br>
◦ <b>CV/Resp:</b> DVT/PE, HTN (systolic ≥160 or diastolic ≥100 mm Hg), IHD, peripartum cardiomyopathy, complicated valvular heart dz, CF, stroke<br>
◦ <b>Hepatic:</b> hepatocellular adenoma, schistosomiasis w/ liver fibrosis, decompensated cirrhosis<br>
◦ <b>DM:</b> insulin-dependent; >20-yr duration; or w/ nephropathy/retinopathy/neuropathy/other vascular dz<br>
◦ <b>Surgery hx:</b> bariatric surgery in past 2y, solid organ txp in past 2y<br>
◦ <b>ID:</b> HIV (not clinically well or not on ART); TB; schistosomiasis w/ liver fibrosis<br>
◦ <b>Neuro:</b> epilepsy, DM neuropathy, stroke<br>
◦ <b>Heme:</b> sickle cell dz, thrombogenic mutations<br>
◦ <b>Other:</b> GTD, SLE<br>