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
TreatmentCareful control of diabetes
Monitoring fetal wellbeing
Habits Misc
Alcohol
Tobacco
Cocaine and other drugs
Medications