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Concurrent disorders in pregnancy STUDENT- Spring 2022.pptx...

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Concurrent DisordersDuring PregnancyDiabetesRh IsoimmunizationCardiac DisordersSubstance AbuseNURS 368Sharon Hitchcock DNP,RNC
Expected Individual StudentLearning OutcomesList factors that can be considered high risk during pregnancy.Explain the effects of heart disease during pregnancy.Identify maternal and fetal risks or complications associated withdiabetes in pregnancy.Delineate the effects of selected pre-gestation medical conditions(such as anemia, HIV, infection) on pregnancy.Discuss the care of pregnant women who use, abuse, or aredependent on alcohol or illicit or prescription drugs.Discuss nursing care management of women with a bleedingproblem associated with pregnancy.Describe Rh isoimmunization and prevention.Discuss medications used to treat various high risk antepartumpatients.Discuss common causes of maternal mortalityDescribe health disparities, health equity, and social determinants of
McKinney TextbookReadingsChapter 24– Substance abuse section(507-511)Know Table 24.1Chapter 25– Incompatibility betweenmaternal and fetal blood section (545-547)Chapter 26– all of it…Diabetes sectionCardiac disease sectionAnemias sectionRemainder of content up to Infections
High Risk Pregnancies…*other topics in McKinney readings are testableDiabetesRh IsoimmunizationSubstance abuseCardiovascular conditionsHyperemesis GravidarumPlacental abnormalitiesHemorrhageInfectionsPreterm LaborPROM/PPROMCervical InsufficiencyHTN -Preeclampsia/eclampsia/HELLPMultiple Gestation*Hematological disorders-anemias*Thyroid disease*Systemic Lupus*Seizure disorders*Table 26.3 – Medicalconditions and their effect onpregnancyAppendicitisAsthmaGlucose-6-phosphate…HyperthyroidHypothyroidMaternal PKU
Causes of Pregnancy-Related DeathsOther cardiovascular conditions, 15.5%.Infection or sepsis, 12.7%.Cardiomyopathy, 11.5%.Hemorrhage, 10.7%.Thrombotic pulmonary or other embolism, 9.6%.Cerebrovascular accidents, 8.2%.Hypertensive disorders of pregnancy, 6.6%.Amniotic fluid embolism, 5.5%.Anesthesia complications, 0.4%.Other non-cardiovascular medical conditions, 12.5%.Unknown causes 6.7%
Pregestational Medical ConditionsPreconceptual counseling advisedSpecialistsE.g. dieticianGood control of disease prior toconceptionMedical monitoring throughoutpregnancy
Age and High RiskPregnancyAdvanced Maternal Age (AMA) is >35 at EDD(>45 is extreme AMA)With AMA have increased risks:Spontaneous abortion/miscarriage90% of miscarriage at 40 yr oldGestational diabetes mellitusHTNLow birth weightCesarean birth and instrumental vaginal deliveriesPlacenta previaPreterm laborPostpartum hemorrhageChromosomal abnormalitiesAutismDown syndromeAt yourprime whenyounger
Age andHighRiskPregnancy
Diabetes Mellitus

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Term
Spring
Professor
ConnieMiller
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