.2 JUST CHECK THE BOOK COZ IT'S ONLY A TABLES

High-Risk Pregnancy Factors

I. Psychological Factors

  • History of mental illness

  • Cognitive challenges

  • Poor coping mechanisms

  • Decrease in self-esteem

  • Survivor of childhood sexual abuse

II. Social Factors

  • Lower economic level

  • Poor access to transportation

  • Lack of support

  • Highly mobile lifestyle

  • Poor housing conditions

  • Illness of a family member

  • Lack of acceptance of pregnancy

  • Pregnancy loss of support person

III. Physical Factors

  • Prepregnancy history of drug dependence

  • Environmental contaminants

  • Occupational hazards (handling toxic substances)

  • Pelvic inadequacy or misshape

  • Uterine incompetency, position, or structure

  • Secondary major illnesses (e.g., heart disease, diabetes)

  • Pregnancy-induced hypertension

  • Gestational diabetes post last pregnancy

  • Infections (e.g., tuberculosis)

  • Poor nutritional status (iron, folic acid, protein deficiency)

  • Drug abuse (including alcohol) and teratogen exposure

  • Multiple gestation

  • Severe obesity (BMI ≥ 30)

  • Severe underweight (BMI < 18.5)

  • Fetal blood incompatibility

IV. Classification of Heart Disease (for pregnant women)

  1. Class I: Uncompromised; no symptoms with ordinary activity.

  2. Class II: Slightly compromised; symptoms with ordinary activity.

  3. Class III: Markedly compromised; symptoms during less than ordinary activity.

  4. Class IV: Severely compromised; symptoms present even at rest.

V. Labor and Birth Considerations

  • Inability to participate due to anesthesia

  • Unplanned cesarean birth

  • Hemorrhage or infection

  • Lacerations of cervix or vagina

  • Birth of infant with congenital anomalies or disappointing characteristics (sex, appearance)