Care of At-Risk/ High Risk and Sick Mother and Child By: JM Canja, R Flashcards
is one in which a concurrent disorder,
pregnancy-related complication, or
external factor jeopardizes the health
of the woman, the fetus, or both.
High-Risk
Pregnancy
History of drug dependence
(including alcohol)
➔ History of intimate partner abuse
➔ History of mental illness
➔ History of poor coping mechanisms
➔ Cognitively challenged
➔ Survivor of childhood sexual abuse
Psychological
Occupation involving handling of
toxic substances
➔ Environmental contaminants at home
➔ Isolated
➔ Lower economic level
➔ Poor access to transportation for
car
Social
➔ High altitude
➔ Highly mobile lifestyle
➔ Poor housing
➔ Lack of support people
Social
➔ Visual or hearing challenges
➔ Pelvic inadequacy or misshape
➔ Uterine incompetency, position, or
structure
➔ Secondary major illness (heart disease,
diabetes mellitus, kidney disease,
hypertension, chronic infection such as
tuberculosis, hemopoietic or blood
disorder, malignancy)
Physical
➔ Poor gynecologic or obstetric history
➔ History of previous poor pregnancy
outcome (miscarriage, stillbirth,
intrauterine fetal death)
➔ History of child with congenital
anomalies
➔ Obesity (BMI >30)
➔ Underweight (BMI <18.5)
Physical
➔ Pelvic inflammatory disease
➔ History of inherited disorder
➔ Small stature
➔ Potential of blood incompatibility
➔ Younger than age 18 years or older than
35 years
➔ Cigarette smoker
➔ Substance abuse
Physical
Top Three Leading Causes: Morbidity
- Acute Respiratory Tract Infection
- Hypertension
- Acute Lower Respiratory Tract Infection and Pneumonia
Top Leading Causes: Mortality Among Females
- Ischaemic Heart Diseases
- Malgnant Neoplasms
- Pneumonia