HIGH RISK PREGNANCY Flashcards
always a deviation from the normal
bleeding during pregnancy
primary causes of bleeding during pregnancy
- ABORTION/MISCARRIAGE
- ECTOPIC PREGNANCY
- H-MOLE
- PLACENTA PREVIA
- ABRUTIO PLACENTA
- ABDOMINAL PREGNANCY
- CERVICAL INSUFFICIENCY
- DIC
- PRETERM LABOR
- PROM
medical term for any interruption of pregnancy before fetus becomes viable (below 20 weeks).
abortion/miscarriage
early miscarriage is before
16th week
late miscarriage is between
16-24th week
- Teratogenic factors
- Chromosomal Aberrations
- Abnormal fetal development
- Implantation abnormalities
- Failure to produce enough progesterone
- Infection
CAUSES OF ABORTION
Vaginal bleeding/spotting
PRESENTING SX OF ABORTION
WHAT ARE THE TYPES OF ABORTION
- Threatened Spontaneous Abortion
- Imminent Abortion
- Missed Abortion
- Incomplete Abortion
- Complete Abortion
- Habitual Abortion
- Septic Abortion
Spotting, slight cramping
Threatened Spontaneous Abortion
Threatened Spontaneous Abortion CAUTIONS
Do not use tampons to halt bleeding as this can cause infection.
May possibly be caused by poor placental attachment.
PRESENTING SX; Spotting, Cramping, cervical dilatation
Imminent Abortion
Spotting, cramping, no apparent loss of pregnancy
Missed Abortion
Missed Abortion is rarely associated with
DIC
Spotting, Cramping, cervical dilatation, incomplete expulsion off uterine contents
Incomplete Miscarriage
Incomplete Miscarriage is high risk for
- Uterine Infection
- Hemorrhage
Spotting, Cramping, cervical dilatation, complete expulsion off uterine contents
Complete Miscarriage
Women had 3 spontaneous miscarriage.
Habitual Abortion/ Recurrent Pregnancy Loss
Caused by
1. Defective spermatozoa and ova
2. Endocrine Factors
3. Uterine Deviations
4. Uterine Infections
5. Autoimmune Disorders
Habitual Abortion/ Recurrent Pregnancy Loss
abortion complicated by infection
septic abortion
Implantation occurs outside the uterine cavity associated with tubal constructures.
ECTOPIC (TUBAL) PREGNANCY
- Sudden Unilateral lower abdominal pain
- minimal spotting
- possible signs of hypovolemic shock / hemorrhage
ECTOPIC (TUBAL) PREGNANCY assessment:
due to
1. fallopian tube scarring
2. adhesion of ft due to previous infection (CS & PID)
3. congenital malformations
4. uterine tumor
these slow the travel of the zygote.
ECTOPIC (TUBAL) PREGNANCY
- Missed Period (amenorrhea)
- Usual s/sx of pregnancy
- hcg testing / pt
sx of EP
- Sharp stabbing pain in lower abdominal quadrant
- Scant vaginal spotting
- May lead to shock
- falling hcg level
- blood loss = hypovolemic shock (lightheadedness, increased PR
s/sx of ruptured EP
