Obstetrics

  •  High-risk Pregnancy Care

A high-risk pregnancy is one of greater risk to the mother or her fetus than an uncomplicated pregnancy. Pregnancy places additional physical and emotional stress on a woman’s body. Health problems that occur before a woman becomes pregnant or during pregnancy may also increase the likelihood for a high-risk pregnancy. The NICHD is one of many federal agencies working to improve pregnancy outcome, prevent high-risk pregnancy, and improve health outcomes for pregnant women who are at high risk. The NICHD supports and conducts research on the causes and optimal management of the high-risk pregnancy.

  • Low risk pregnancy
  • Management of post delivery complication:

Postpartum Complications:

The period beginning immediately after the birth of a child and extending for about six weeks

World Health Organization (WHO) describes the postnatal period as the most critical and yet the most neglected phase in the lives of mothers and babies most deaths occur during the postnatal period a time in which the mother’s body, including hormone levels and uterus size, returns to a no pregnant state scientific literature, the term is abbreviated to Px, where x is a number  day P2 Common Postpartum Complications . Hemorrhage, Perineal pain, Hemorrhoids and Constipation Breast Problems Mastitis Swollen breasts Clogged ducts Infections Urinary incontinence.

 

Hemorrhage Definition and Incidence

  • Leading cause of maternal morbidity and mortality in the US and worldwide
  • Life-threatening event with little warning                                                                                        

▫ Loss of > 500 ml after vaginal delivery

▫ Loss of > 1,000 ml following c-section

  • Classification {in respect to birth}

▫ Early / Acute or Primary  With 24 hours of birth

▫ Late or Secondary • >24 hrs but < 6 week

PPH – Causes

  • Uterine Atony

▫ Marked hypotonia of the uterus

▫ Leading cause of PPH

▫ 1:20 births

  • Associated with

▫ High parity

▫ Multifocal gestation

▫ Traumatic births

▫ Use of Magnesium Sulfate

▫ Rapid or prolonged labor

▫ Use of Pitocin for labor induction

  • ante natal and post natal classes