CH 25-27 Complications Flashcards
What is the cause of hypertension of pregnancy
Vasoconstriction –> poor placental effusion
Categories of pre term birth (causes)
Multi births
Demographics
Bio physical risks
Behavio8ur
When can glucocorticoids be given
Before 34 weeks for a premie
Meds for pre term labor
Magnesium sulfate (CNS depressant) Glucocorticoids betamethasone, dexamethasone
Kernicterus
Destruction of brain cells by bill
Persistent patent ductus arteriosus
Diff to move blood from pulmonary artery to lungs
Peri ventricular/intraventricular hemm
Bleeding into tissues
Complications of pre term b righ
Kern ..
Interventions for complicated labor
Version
True trial of labor
Induction
Augmentation
Bishops scores
Dilations Effacement Station Consistency Position
Bishops score for induction
Less than 5, no induction
Greater or equal than 5 = induce
Classifications of hypertensive disorders of pregnancy
Gestational hypertension (PIH) Pre eclampsia Eclampsia Chronic hypertension Pre ecam superimposed on chronic h.
Pre eclamp characterized by
Elevated BP
Edema
Vasospasms
Protein in urine
What does arteriolar vasospasm lead to
Mild Severe Eclamp HELLP DIC
What is the cure to hypertensive pregnancy disorder
Delivery
Mazzanti or and Ruben
Supra public pressure on anterior shoulder
Mcroberts
Knees to chest, pressure on suprapubic
Savinelle
Push the fetal head + c section
Prolapsed cord and it’s intervention
Cord appears before presenting part
Intervention
Knees, triden, c section
Preterm labor characterized by
Contractions lasting less than 10 minutes apart (before 38 weeks) that results in at least one
Cervical dilation of 2cm or More
Effacement of 80% or greater
cervical change
