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Complications during pregnancy

  1. what is pregnancy induced hypertension?
    • significant rise in BP after 20 weeks gestation 
    • in absence of proteinuria or other features of pre-eclampsia
  2. what can pregnancy induced hypertension be classified as?
    • chronic htn 
    • gestational htn
  3. what is pre-eclampsia?
    • pregnancy induced htn with proteinuria 
    • with or without oedema
  4. when does pre-eclampsia commonly occur?
    24-28 weeks gestation
  5. what is pre eclampsia primarily?
    • a placental disorder 
    • poor placental perfusion
  6. what is pre eclamsia classified in BP?
    • mild- 140-149/ 90-99
    • moderate- 150-159/ 100-109
    • severe- >160/ 110
  7. what will half women with severe pre eclampsia do?
    deliver before 36 weeks
  8. what are the risk factors for pre eclampsia?
    • 10 years or more since last pregnancy 
    • primiparity or first preg with new partner 
    • previous severe pre eclampsia 
    • essential htn 
    • diabetes 
    • obesity 
    • twins or high multiples
    • renal disease 
    • advanced or young maternal age (>40 or <16)
    • pre existing cardiovascular disease
  9. what are the s and s for mild/ moderate pre- eclampsia?
    • BP >140/90 
    • proteinuria 
    • sometimes oedema
  10. what are the S and S of severe pre- eclampsia?
    • BP <160/110 with proteinuria plus 1 or more of the following 
    • headaches (severe and frontal) 
    • visual disturbance 
    • epigastric pain 
    • side sided under quadrant abdominal pain 
    • muscle twitching or tremor 
    • nausea 
    • confusion 
    • rapidly progressive oedema
  11. what does eclampsia present as?
    generalised tonic/ clonic convulsion
  12. what are convulsions usually?
    • self limiting (2-3 minutes) 
    • can occur 6 weeks post partum
  13. what is the a risk due to the convulsion?
    • fetal compromise 
    • death due to hypoxia from convulsion
  14. how many cases of eclampsia present for the first time post delivery?
    • 1/3 
    • within 48 hours
  15. what position should someone with eclampsia be placed in?
    • full lateral (recovery position) 
    • if intervention required- supine with manual uterine displacement
Author
davidgoddard93
ID
346863
Card Set
Complications during pregnancy
Description
Complications during pregnancy
Updated

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