Antepartum Complications

11/18/1999


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Table of Contents

Antepartum Complications

What is a High Risk Pregnancy

Medical Risk Factors

Obstetric/Reproductive

Psychosocial factors

Maternal Mortality Rates

Changes in Healthcare contributing to better pregnancy outcomes:

Risk Assessment

Diagnostic Tests

Prenatal Diagnosis

Amniocentesis

BIOPHYSICAL PROFILE (30 minute observation period)

SCORE

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2. FETAL BREATHING MOVEMENT

2.FETAL BODY MOVEMENT

4. FETAL TONE

5. AMNIOTIC FLUID VOLUME

COMMON COMPLICATIONS

EARLY ANTEPARTUM HEMMORAGE

Incidence

Spontaneous Abortion

Spontaneous Abortion

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ECTOPIC PREGNANCY

Ectopic Pregnancy

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HYPEREMESIS GRAVIDARUM

ETIOLOGY

Management

Second and third trimester disorders

Second and Third Trimester Bleeding

Placenta Previa

Placenta Previa

Placenta Previa

Risk Factors

Symptoms

Management

Expectant management

Placental Abruption

Placental abruption

Abruptio placenta

Symptoms

Management

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PREGNANCY INDUCED HYPERTENSION (PIH)

RISK FACTORS

PREECLAMPSIA AND

PREECLAMPSIA

MILD PREECLAMPSIA

SEVERE PREECLAMPSIA

Systemic symptoms

Eclampsia

Assessment

History

Physical

Lab studies

Complications

PIH or mild preeclampsia

Hospital management

Treatment

MgSO4 Therapy

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POLYHYDRAMNIOS

Oligohydramnios

Preterm Labor

Etiology

Fetal factors

Management

Tocolysis

Steroids given to accelerate fetal lung maturity (betamethasone or dexamethasone 12.5 mg. IM q 24 hrs for 48 hours

Diabetes in Pregnancy

Complications to Mother

Treatment Careful control of diabetes

Monitoring fetal wellbeing

Habits Misc

Alcohol

Tobacco

Cocaine and other drugs

Medications

Author: Villanova University