Summary

This document covers obstetrics and gynecology emergencies, focusing on complications of pregnancy such as diabetes, hypertension, substance abuse, and trauma. It details conditions like preeclampsia and eclampsia, substance use effects on the fetus, and maternal risk factors.

Full Transcript

03/GYN EMERGENCIES Ch 34. OB/GYN Complications of Pregnancy Diabetes 2d half of pregnancy gestational diabetes/diabetes during During pregnancy but not before) develops but usually resolves after Treatment is similar > - : ,. to > - patients with Hypertension > other 160mmny conditions. high BP ( >...

03/GYN EMERGENCIES Ch 34. OB/GYN Complications of Pregnancy Diabetes 2d half of pregnancy gestational diabetes/diabetes during During pregnancy but not before) develops but usually resolves after Treatment is similar > - : ,. to > - patients with Hypertension > other 160mmny conditions. high BP ( > 140mmng systolic > 90mmny diastolic) systemic effects. Severe hypertension is classified Presence of : absence of as diabetic systolic, > , in Ilommy diastolic Ecclampsia PreEclampsia : Symptoms of preeclampsia + SEIZURES Hypertension, headache, visual HYPERTENSIVE abnormalities, edema in hands and feet, epigastric pain or upper abdominal pain, dyspnea or retrosternal chest pain, anxiety, and AMS. CONDITIONS X # Transporting O pregnant patients can help prevent aspiration (if vomiting) , take pressure of the heart , and prevent supine hypotensive syndrome ABUSE Abuse (mental/physical) > - and low birth weight The. can cause woman spontaneous abortion, premature is at risk for bleeding , infection, delivery and uterine rupture. Substance Abuse > - : 1) Fetal-Alcohol Syndrome 2) Opiod use disorder Substance severe ↑ Improper positioning use respiratory of the seat-belt can -e be ① damaging Maternal cardiac arrest can effect the fetus with low birth distress , , weight prematurity , death Motor vehicle crashes can cause abruptio placenta and can lead to severe vaginal bleeding and abdominal pain Wo Ag Trauma on pregnant women of D Falls: → Increased risk of falling due to loose joints in the musculoskeletal system and weight addition of the uterus → Abdominal organs are displaced which affect balance 20% increase in blood volume: →Shock can present itself and be very lifethreatening for the mother and then fetus.

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