Obstetric 2 Flashcards
What is a high risk pregnancy?
any fetal or maternal condition that can adversely affect the pregnancy, usually with a premature delivery
What types of maternal pre-existing conditions may cause a high risk pregnancy?
- heart/lung disease
- DM
- chronic illness
- disability
- substance abuse
- lack of prenatal care
What are some complications that may make a pregnancy high risk?
- preeclampsia
- preterm labor
- multiple gestation
- premature rupture of membranes
- hyperemesis gravidarum
- pulmonary edema
- cardiomyopathy
Who does preeclampsia affect?
- both mother and fetus
- can be fatal!
preeclampsia is characterized by:
- HTN
- presence of protein in urine
may also include:
- swelling/sudden weight gain
- HA
- vision changes
When does preeclampsia typically occur?
20 weeks gestation to 6 weeks postpartum
outdated terms you might hear for preeclampsia
- pregnancy-induced HTN
- toxemia
variants of preeclampsia (2)
- HELLP syndrome
- eclampsia
HELLP syndrome =
H: hemolysis
EL: elevated liver enzymes
LP: Low Platelet count (thrombocytopenia)
eclampsia =
seizures
progression of preeclampsia or inability to manage usually results in
- delivery of the baby, regardless of gestational age
- increased risk for whole host of issues for the baby
PROM =
- premature rupture of membranes
- rupture of membranes prior to onset of labor
When does membrane rupture usually occur?
- typically occurs at term
- apoptosis appropriately initiates rupture
PROM: pathology
inflammation or infection of the membranes
PROM: risk factors
- low socioeconomic status
- low BMI
- tobacco use
- preterm labor hx
- UTI
- vaginal bleeding
- cerclage
- amniocentesis
