MEDRADSC 1B03 - Complications of Pregnancy

ectopic pregnancy

fertilized ovum implanted oustide of the uterus

pregnancy induced hypertenstion

hypertension and elevated blood pressure that occurs after 20 weeks of gestation and will subside after delivery

preeclampsia

blood pressure is higher than PIH, proteinuria, weight gain and generalized edema are present

eclampsia

blood pressure is higher than PIH, proteinuria, weight gain, generalized edema and seizures

placenta previa

placenta implanted very low in the uterus or covering the internal os

signs of placenta previa

bright red vaginal bleeding which is painless

Placenta previa is usually present in ______ pregnancy.

late

abruptio placentae

premature separation of the placenta from the uterine wall, which causes painful bleeding

disseminated intravascular coagulation

excessive activation of body clotting mechanisms which leads to the running out of clotting factors which leads to hemorrhaging

DIC is a serious complication of ___________ abruption and _____________/

placental, preeclampsia

thrombophlebitis

formation of a clot in a vein area that is inflammed

phlebothrombosis

the spontaneous formation of a blood clot in a vein

Phlebothrombosis is common after ______ ______ due to ______ of blood, ______________ coagulability and phlebitis.

child birth, stasis, increased

thromboembolism

a thrombus that breaks off and is mobile in the vein and can migrate to other circulatory areas and cause thrombosis

where is thromboembolism commonly found?

legs, migrates to the lungs

rh incompatibility

blood incompatibility in which fetal Rh blood factors differ from the maternal blood factors, resulting when the mother is Rh negative and the baby is Rh positive

when does rh incompatibility occur?

secondary exposure (pregnancy)

what can rh incompatibility lead to?

hemolytic anemia

hemolytic anemia

hemolysis of erythrocytes which causes fetal anemia and in extreme cases, death

the mother is considered ________ if her first born baby was Rh ___________ and she was Rh ___________.

sensitized, positive, negative

RhoGAM

anti-Rh antibodies which are taken when a mother is sensitized and has a fetus who is Rh positive

endometritis

inflammation of the endometrium commonly associated with pregnancy

causes of endometritis

separation of the placenta, in which retained placental fragments remain in the uterus

signs of endomitritis

fever, vomiting, lower abdominal pain and foul-smelling vaginal discharge

complications of endomitritis

pelvic cellulitis and peritonitis