Complications of Pregnancy
Complications of Pregnancy
PREGNANCY
By:
AMBROSIO, Jhoanna Jean G.
Amniotic Fluid Complications
Too much fluid can put excessive
pressure on the mother's uterus
Fluids tend to build up in
◦ uncontrolled diabetes
◦ multiple pregnancy
◦ incompatible blood types
◦ birth defects.
Too little fluid may indicate birth defects,
growth retardation, or stillbirth.
Bleeding
Bleeding in late pregnancy may be a sign
◦ placental complications
◦ a vaginal or cervical infection
bleeding in late pregnancy may be at
greater risk of losing the fetus bleeding
excessively
Bleeding at any time during the
pregnancy should be reported to your
physician immediately
Ectopic Pregnancy
is the development of the fetus outside of the uterus
can occur in the fallopian tubes, cervical canal, or the
pelvic or abdominal cavity
cause is usually a blocked fallopian tube
The risk is increased in women who have had tubal
sterilization procedures
occur in about one out of 50 pregnancies and can be
very dangerous to the mother.
symptoms may include spotting and cramping
treatment may include medication or surgical
removal of the fetus
Miscarriage/Fetal Loss
is the loss of the fetus up to 12 weeks of pregnancy
most occur in the first 12 weeks of pregnancy and are usually
due to fetal abnormalities.
are usually preceded by spotting and intense cramping
To confirm an ultrasound may be performed
fetus and contents of the uterus are often naturally expelled
If this process does not occur, a procedure called a dilation and
curettage (D & C) may be necessary
Fetal loss in the second trimester may occur when the cervix is
weak and opens too early
In some cases of incompetent cervix, a physician can help
prevent pregnancy loss by suturing the cervix closed
Placental Complications
Placental Abruption
◦ Sometimes the placenta becomes detached from the uterine
wall prematurely (placental abruption) leading to bleeding
and a reduction of oxygen and nutrients to the fetus
◦ The detachment may be complete or partial, and the cause of
placental abruption is often unknown
◦ Placental abruption occurs in about one in every 120 live
births
◦ Placental abruption is more common in women who smoke,
have high blood pressure, have a multiple pregnancy, and/or
in women who have had previous children or a history of
placental abruption
Placental Abruption
◦ Symptoms and treatment of placental abruption
depend upon the degree of detachment
◦ Symptoms may include bleeding, cramping, and
abdominal tenderness
◦ Diagnosis is usually confirmed by performing
a complete physical examination
an ultrasound
◦ Women are usually hospitalized for this condition
and may have to deliver the baby prematurely
Placenta Previa
◦ is a condition in which the placenta is attached
close to or covering the cervix
◦ occurs in one in every 200 deliveries and
◦ occurs more often in women who have
scarring of the uterine wall from previous
pregnancies
women who have fibroids or other abnormalities in
the uterus
in women who have had previous uterine surgeries
Placenta Previa
◦ Symptoms may include vaginal bleeding that is
bright red and not associated with abdominal
tenderness or pain
◦ Diagnosis is confirmed by performing a physical
examination and an ultrasound
◦ Depending upon the severity of the condition and
the stage of pregnancy, modification of activities or
bedrest may be ordered
◦ baby usually has to be delivered by cesarean section
to prevent the placenta from detaching early
to prevent the baby of oxygen during delivery
Preeclampsia/eclampsia
Preeclampsia
◦ also called toxemia,
◦ is a condition characterized by
pregnancy-induced high blood pressure
protein in the urine
swelling due to fluid retention.
Eclampsia
◦ is the more severe form of this condition
◦ can lead to seizures, coma, or death.
◦ cause of preeclampsia is unknown
◦ more common in first pregnancies
◦ affects about seven to ten percent of all
pregnant women
◦ other risk factors:
a woman carrying multiple fetuses
a teenage mother
a woman older than 40
a woman with pre-existing high blood pressure,
diabetes, and/or kidney disease
◦ Symptoms may include
severe swelling of the hands and face
high blood pressure
Headache
Dizziness
Irritability
decreased urine output
abdominal pain
blurred vision
Treatment will vary according to the severity of the condition and the
stage of the pregnancy
Treatment may include hospitalization, bedrest, medication to lower
the blood pressure, and close monitoring of both the fetus and the
mother.