Adaptations and Complications of Pregnancy - Exam 2

Pregnancy Complications Hemorrhagic conditions Hyperemesis gravidarum Hypertensive disorders Gestational diabetes Infection Early Hemorrhagic Conditions Three most common in 1st half of pregnancy. 1. Abortion ▪ Spontaneous or induced 2. Ectopic Pregnancy 3. Hydatidiform Mole Spontaneous Abortion Miscarriage ▪ Loss of pregnancy before viability - Spontaneous or induced - 1 st 12 weeks▪ Risks increase with parental age ▪ Etiology of spontaneous abortions - Severe congenital anomalies (50-60%) - Maternal infections/endocrine disorders (Type 1 diabetes will suffer through this) • Hypothyroidism or IDDM • Uterine or cervical anatomic defects Threatened Abortion Vaginal bleeding, cramps, backache, pelvic pressure ▪ If viable B-hCG levels rise/ uterine size if embryonic growth Management ▪ Assessment (US) ▪ Teaching ▪ Emotional supportInevitable Abortion For babies that are not viable (under 20 wks) Presentation - Membranes rupture - Cervical dilation - Heavy bleeding Management - Natural expulsion - Dilation & vacuum curettage (D&C) prn Fetal Demise Death of a fetus after 20 wksIncomplete Abortion Partially retained products of conception (POC) Presentation - Active bleeding & severe abdominal cramping Management before 14 weeks - CV stabilization - Curettage - Uterotonic drugs