P-8.High_Risk_Pregnancy_BB_.ppt

P-8.High_Risk_Pregnancy_BB_.ppt - High Risk Pregnancy...

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High Risk Pregnancy Gestational Diabetes Hypertensive Disorders Maternal PKU Multifetal Adolescent
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High Risk Pregnancy Several risk factors contribute to poor pregnancy outcome They should be used to predict problems Easier to prevent problems than deal with them later Women with preexisting disease are at risk Hypertension, Diabetes, PKU Healthy women could develop Hypertensive disorders of pregnancy Gestational diabetes Adolescent pregnancies are very high risk ones
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Nutritional Risk Factors in Pregnancy Age extremes (<15 or > 35) Weight extremes ((<85% or >120% IBW) Frequent pregnancies (3 or more in 2 yrs. Poor obstetric history Poverty Fad diets Substance abuse Poor iron status (Hb < 12 gm/dl) Unsatisfactory weight gain in pregnancy
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Hypertensive Disorders in Pregnancy Chronic hypertension Hypertension before pregnancy Hypertension before week 20 of pregnancy Hypertension that does not resolve after pregnancy Gestational hypertension Elevated blood pressure after week 20 of pregnancy No proteinuria Preeclampsia-eclampsia Formerly called Toxemia or Pregnancy induced hypertension (PIH) Most serious of the hypertensive disorders
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Preeclampsia-Eclampsia Sudden rise in blood pressure accompanied by other symptoms Edema Proteinuria convulsions Symptoms usually appear in the 3 rd trimester Severity depends on degree of
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P-8.High_Risk_Pregnancy_BB_.ppt - High Risk Pregnancy...

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