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Women's Complications Content

Terms in this set (16)

miscarriage
spotting AND cramping
important to monitor hCG levels
treatment: D&C done to remove remaining products of conception
hydatidiform "molar" pregnancy
"fake" pregnancy, no fetus involved
grape-like clusters of vesicles, may become malignant (choriocarcinoma)
result of uterus enlarging too fast
treatment: D&C to empty the uterus
IMPORTANT to avoid pregnancy for one year
ectopic pregnancy
gestation outside the uterus; usually the fallopian tube
IMPORTANT if a pt had an ectopic pregnancy, she is at risk for another
treatment: Methotrexate to stop the growth of the embryo and save the tube or laparotomy
complications: hemorrhage if the tube ruptures
placenta previa
placenta implanted wrong and will come out first
PAINLESS bright red bleeding
hospitalization required to prevent blood loss and fetal hypoxia
C-section required
abruptio placenta
placenta separates prematurely
VERY PAINFUL dark red blood (external or concealed)
rigid board like abdomen (internal bleeding)
associated with cocaine use, PIH, & smoking
C-section required
important to manage fetal status and maternal shock
vaginal exams and unexplained vaginal bleeding
NEVER NEVER NEVER NEVER PERFORM A VAGINAL EXAM WITH UNEXPLAINED VAGINAL BLEEDING!!!
incompetent cervix
weight of the baby causes pressure on the cervix causing it to prematurely dilate
treatment: purse-string suture (cerclage) to reinforce the cervix
hyperemesis gravidarum
excessive vomiting leads to dehydration leads to starvation leads to death
result of high levels of estrogen and hGC
treatment: NPO (48 hours) and IV fluids then 6-8 small dry feedings followed by clear liquids
PIH
high blood pressure during pregnancy
after delivery, the pt is at risk for seizures for 48 hours
IMPORTANT to decrease stimuli
early signs of preeclampsia
facial swelling & proteinuria
mild signs of preeclampsia
headache, blurred vision, epigastric pain
eclampsia
seizures
Magnesium sulfate
drug of choice for PIH
acts as a sedative, vasodilates to decrease BP, and is an anti-seizure medication
also used for preterm labor (causes the uterus to relax)
premature labor
20-37 weeks
Drugs to stop labor: terbutaline, magnesium sulfate, betamethasone
prolapsed cord
most likely to happen after membranes rupture
treatment: lift head off cord!!! this allows blood supply to the fetus & do NOT push the cord back in, hyper oxygenate mom
GBS
mom is screened around at 35-37 weeks
portal of entry after rupture of membranes
treatment: penicillin or clindamycin if allergic
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