gestational hypertension
high blood pressure during pregnancy
gestational hypertension treatment
-Close monitoring: BP and any symptoms
-Education about symptoms of pre-eclampsia
-Possible low dose aspirin (or other meds if severe)
-Consider delivery after 37 weeks (earlier if severe)
Gestational hypertension
potentially life-threatening disorder that usually develops after
the 20th week of pregnancy and is characterized by edema and
proteinuria
baby blues
Characterize by emotional lability, crying, easily and for no
apparent reason, a let-down feeling, restlessness, fatigue,
insomnia, headache, sadness, anger
Symptoms are usually mild and short lived
The "blues" are normal
postpartum depression (PPD)
persistent and severe mood changes that occur after childbirth
Postpartum anxiety disorders
Generalized anxiety disorder
Obsessive-compulsive disorder
, Panic disorder and panic attacks
Specific phobias
Social anxiety disorder
Posttraumatic stress disorder
Usually, start after 3-4 weeks of pregnancy and can last u up to a
year.
Preterm birth risk factors
-Previous premature baby
-HTN
-Cigarettes/alcohol
-Multiple pregnancy
-Infx
-Intra-abdonminal procedure
-Low socioeconomic status
Preterm birth prevention
Progesterone; little else we can do
cerclage
Preterm Birth criteria
Born before 37 weeks
Low socioeconomic status Nonwhite race
Maternal age ≤18 or ≥40 years
Low prepregnancy weight
Smoking, Substance abuse
Previous history of preterm delivery
Previous history of a second-trimester abortion
Uterine factors