Complications of Pregnancy Non-bleeding Complications课件.ppt

Complications of PregnancyNon-bleeding Complications Pre-term labor 28—37 weeks (after the age of viability and before term) Causes: Hypertensive disease Placenta disorders STD’s Congenital anomalies Smoking Unknown Treatment  Goals of treatment Stop the contractions of labor Slow the process and prepare for birth Medications used: Yutopar Magnesium Sulfate These may be effective if cervix is 4 cm’s Hyperemesis Gravidarum Persistent, excessive nausea and vomiting Prolonged period of times Leading to dehydration TREATMENT: - Bed rest with limited visitors x 24 hours - NPO with IV hydration for 24 hours - Gradually begin oral feedings again Pregnancy Induced Hypertension Also called Pre-eclampsia/Eclampsia Characteristic symptoms Hypertension Proteinuria Edema with rapid weight gain Multi-system disorder Precipitating factors Dietary deficiencies: low protein First pregnancies in older primiparas Over thirty Multiple pregnancies Pre-existing renal or vascular disease Diabetes Course of the Disease Mild Preeclampsia: Sudden increase of B/P (140/90, or ^ of 30/15) on 2 occasions at least 6 hours apart Weight gain with edema in lower extremities Proteinuria (mild) 1+ on 2 successive days Course of the Disease Severe Preeclampsia B/P ^^160/100 (at rest) on 2 occasions at least 6 hours apart. Oliguria---400 ml/24 hours or less Proteinuria ore pronounced (3+) or 5 grams in 24 hours. Eclampsia if vasospasms worsens and B/P ^ damage to cerebral vessels and cerebral edema == seizure activity Multi-systems affects CNS leading to seizure activity Headaches Visual disturbances Hyperreflexia/clonus Altered LOC Eclampsia Hematologic effects Platelet aggregation/intravascular clotting, damage to RBC’s, consumption of clotting factors Abnormal shaped and/or damaged RBC’s Increased fibrin split products (FSP) Thrombocytopenia DIC Hepatic effects Congestion from fibrin deposits, ischemia, increased hepatic pressure (portal hypertension) Nausea/vo