placental abruption - -Premature -Suspect gestational diabetes, fetal anomalies of
separation of the placenta from the uterine wall GI tract/neural tube/atresia, or multiple gestation.
after 20 weeks' gestation and before the fetus is
delivered. Causes PAINFUL bleeding, can be -The mother is also at risk for prolapse of the
concealed causing boardlike abdomen or umbilical cord because the increased amount of
apparent causing visible bleeding fluid pushes the fetus high into the uterine cavity.
Preterm rupture of the membranes, another
complication associated with hydramnios,
cervical insufficiency - -premature dilation increases the risks of both infection and
of the cervix causing multiple miscarriages prolapsed cord.
habitual aborter - -3 or more consecutive placenta previa - -implantation of the
SABs; recurrent pregnancy loss placenta over the cervical opening or in the lower
region of the uterus, causes painless bleeding.
GUARDIAN OF THE VAGINA, prevent cervical
exams until U/S confirms placental location with
ectopic pregnancy - -implantation of the
bleeding
fertilized egg in any site other than the normal
uterine location
placenta previa s/s
molar pregnancy: hyaditiform mole: gestational placental abrution s/s - -previa - there is no
pain, but there is bleeding
trophoblastic disease - -also known as
abrution - there is pain, but no bleeding (board
gestational trophoblastic disease; abnormal
like abd)
proliferation of trophoblastic cells in the first
trimester
hyperemesis gravidarum - -severe nausea
and vomiting in pregnancy that can cause severe
oligohydramnios - -too little amniotic fluid
dehydration in the mother and fetus
puts @ risk for cord compression & fetal hypoxia
treatment of hyperemesis gravidarum - -
Oligohydramnios is associated with - -SGA
correct dehydration and electrolyte or acid-base
fetus, post dates, OR renal tract abnormalities
imbalance, antiemetic drugs may be prescribed,
(renal agenesis), and urinary tract dysplasia
TPN may be required nad/or hospitalization
polyhydramnios - -excessive amniotic fluid
spontaneous abortion (SAB) - -naturally
@ risk for umbilical cord prolapse,
occurring miscarriage or delivery of POC prior to
malpresentation
20 wk
Polyhydramnios/Hydramnios - -too much
Threatened SAB - -bleeding, cramping,
amniotic fluid > 2 L
backache, cervix is closed
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