401072 Lecture Notes - Lecture 10: Hyperemesis Gravidarum, Ectopic Pregnancy, Complications Of Pregnancy
Obstetrics and paediatrics
Lecture 10-
Complications of pregnancy!are health problems that are caused by!pregnancy.
Complications that occur primarily during!childbirth!are termed!obstetric labor
complications, and problems that occur primarily after childbirth are
termed!puerperal disorders. Severe complications of pregnancy, childbirth, and
the!puerperium!are present in 1.6% of mothers in the US!and in 1.5% of mothers in
Canada.!In the immediate!postpartum period!(puerperium), 87% to 94% of women
report at least one health problem.!Long-term health problems (persisting after six
months postpartum) are reported by 31% of women.
In 2016, complications of pregnancy, childbirth, and the!puerperium!resulted
globally in 230,600 deaths, down from 377,000 deaths in 1990. The most common
causes of maternal mortality are!maternal bleeding,!maternal sepsis!and other
infections,!hypertensive diseases of pregnancy,!obstructed labor, and!pregnancy
with abortive outcome, which includes!miscarriage,!ectopic pregnancy, and!elective
abortion.
There is no clear distinction between complications of pregnancy and!symptoms
and discomforts of pregnancy. However, the latter do not significantly interfere
with!activities of daily living!or pose any significant threat to the health of the mother
or baby. Still, in some cases the same basic feature can manifest as either a
discomfort or a complication depending on the severity. For example,
mild!nausea!may merely be a discomfort (morning sickness), but if severe and with
vomiting causing!water electrolyte imbalance!it can be classified as a pregnancy
complication (hyperemesis gravidarum).
Gestational diabetes!is when a woman without!diabetes!develops!high blood
sugar!levels during!pregnancy
Hyperemesis gravidarum!is the presence of severe and persistent vomiting,
causing dehydration and weight loss. It is more severe than the more
common!morning sickness and is estimated to affect 0.5–2.0% of pregnant
women.Caused by:!pelvic griddle pain!(PGP) disorder is!pain!caused by instability
and limitation of mobility and functioning in any of the three pelvic joints. PGP can
begin!peri or postpartum. For most women, PGP resolves in the weeks after
delivery, but for some it can last for years, resulting in a reduced tolerance for
weight bearing activities. PGP affects around 45% of women during pregnancy:
25% report serious pain and 8% are severely disabled.
•Treatment: The treatment modality is based on the severity. A mild case would
require rest, rehabilitation therapy and pain is usually manageable. More
severe cases would also include mobility aids, strong!analgesics!and
sometimes surgery. One of the main factors in helping women cope is with
education, information and support. Many treatment options are available.
Document Summary
Complications of pregnancy are health problems that are caused by pregnancy. Complications that occur primarily during childbirth are termed obstetric labor complications, and problems that occur primarily after childbirth are termed puerperal disorders. Severe complications of pregnancy, childbirth, and the puerperium are present in 1. 6% of mothers in the us and in 1. 5% of mothers in. In the immediate postpartum period (puerperium), 87% to 94% of women report at least one health problem. Long-term health problems (persisting after six months postpartum) are reported by 31% of women. In 2016, complications of pregnancy, childbirth, and the puerperium resulted globally in 230,600 deaths, down from 377,000 deaths in 1990. The most common causes of maternal mortality are maternal bleeding, maternal sepsis and other infections, hypertensive diseases of pregnancy, obstructed labor, and pregnancy with abortive outcome, which includes miscarriage, ectopic pregnancy, and elective abortion. There is no clear distinction between complications of pregnancy and symptoms and discomforts of pregnancy.
