Disorders During Pregnancy

DISORDERS DURING PREGNANCY

Geniviel F. Asis, RN Lecturer, Adult Nursing V Kolej Shahputra, Kuantan, Pahang, MY

Hemorrhage General Management • CBR • Avoid sex • Assess for bleeding (1 pad = 30 – 40cc) (weight – 1gm = 1cc) • Ultrasound to determine integrity of sac • Signs of Hypovolemic shock • Save discharges – for histopathology – to determine if product of conception has been expelled or not

First Trimester Bleeding

(this could be result to abortion or ectopic)

ABORTIONS • Termination of pregnancy before age of viability (before 20 weeks) • Spontaneous Abortion – Miscarriage • Induced Abortion- Therapeutic abortion to save life of mother.

Etiology • Faulty development of embryo • Abnormalities of placenta • Acute infectious diseases • Severe trauma and shock

Classifications • Threatened – there is an appearance of signs & symptoms of possible fetal loss; with vaginal bleeding with or without intermittent pain. • Inevitable – Moderate bleeding, cramping, tissue protrudes from the cervix (Cervical dilation /

Types of Abortion • Complete – All products of conception are expelled – No nursing management; just emotional support.

• Incomplete – Placental and membranes retained – Nursing Management: Dilatation & Curettage

• Habitual – 3 or more consecutive pregnancies result in abortion usually related to incompetent cervix. Present 2nd trimester • Missed – fetus dies; product of conception remains in uterus 4 weeks or longer; signs of pregnancy cease. Scanty dark brown bleeding

Nursing Management • Induced labor by administering oxytocin or vacuum extraction

Ectopic Pregnancy • Occurs when gestation is located outside the uterine cavity. • Common site – Tubal or Ampular – Dangerous site – Interstitial

Common site – Tubal or Ampular

Dangerous site – Interstitial