Maternal Newborn
Pregnancy Complications
Question Answer
maternal mortality can
be caused from ectopic
pregnancy or obstertric
events such as
hemorrhage, pulmonary
embolism and pregnancyinduced hypertension (PIH)
...
Maternal Newborn
Pregnancy Complications
Question Answer
maternal mortality can
be caused from ectopic
pregnancy or obstertric
events such as
hemorrhage, pulmonary
embolism and pregnancyinduced hypertension (PIH)
What is the major cause
of perinatal (5 months
before and 1 month
after) mortality
prematurity
risk factors for
pregnancy complications
age (especially younger than
17), socioeconomic status
(urgan poor, lack of education),
primipariety (first), and
multiple pregnancies
What is the best
prevention of pregnancy
complications
prenatal care
Name two pregestational
disorders
cardiovascular disease and
endocrine disorder (diabetes)
Name the 4
pregestational
cardiovascular diseases
rheumatic heart disease,
congenital heart disease, mitral
valve prolapse and peripartum
cardiomyopathy (disease of the
heart muscle between the last
month of pregnancy and 5
months post partum)
Why is rheumatic heart
disease decreased in
pregnant women
better treatment of strep
infections
Why is congenital heart
disease seen more
better treatment of heart
anomalies bc of survival rate
Why are we conserned
with mitral valve
prolapse in pregnant
women
Prevention of any infection that
could travel to the heart and
weaken valves, usually caused
by stress. Give prophylactic IV
antibiotic during labor
Why is peripartum
cardiomyopathy a
concern
can be very severe, may go
unnoticed until after delivery
pregnancy increases
____ on the heart
causing symptoms and
risks to increase
stress
T/F signs of cardiac
decompression can be
True (fatigue, dyspnea,
palpitations, tachycardia, heart
murmurs, edema and cough)
similar to normal
responses to pregnancy
Decompensation is the
functional deterioration of a
previously working structure or
system
What causes murmurs
and palpitations blood volume increase
main sign of cardiac
decompensation is due
to ____ - b/c this is the
only sign that is not a
common change in
pregnancy
cough - red flag b/c increasing
heart alteration, heart failure,
pulmonary edema (congestion)
Class I and II heart
disease in pregnancy is
the milder form of heart
disease, are these
women able to have a
normal pregnancy
yes - but need to be watched
very closely - coordinate care
OB with CV doctor
Can a woman with class
III & IV heart disease
become pregnant
yes - but it is in their best
interest not to try to have a baby
What is the primary goal
of a pregnant woman
with heart disease
adaquate rest - other goals
include prevention of
respiratory infection (adds
stress to lung), monitoring for
signs of cardiac
decompensation and attempt a
trial of labor avoiding valsalva
(closed glottis) puts pressure on
thoracic cavity
Why is diabetes worse
with pregnancy
stress alters CHO metabolism
(pregnancy is a diabetogenic
state)
Gestational diabetes
(type III) stops once
pregnancy ends but are
at higher risk for mature
onset diabetes - why
because they have subclinical
diabetes when not pregnant,
they are often overweight so
ne
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