Please be familiar with each term prior to the first day of class
Be prepared to submit on first day of clinicals and be tested on at end of clinicals
ANTEPARTUM
1. Definition- the period before childbirth
2. Reasons for Admission
Preterm Labor- uterine contractions causing cervical change that occur between 20-37 weeks of pregnancy.
Premature Rupture of Membranes- the spontaneous rupture of the amniotic sac and leakage of amniotic fluid that occurs at any time before labor. Women report a sudden gush or slow leak of fluid from the vagina. Women are hospitalized in order to prolong pregnancy to allow the fetus to mature unless complications such as infection occur.
Gestational Diabetes Mellitus- glucose intolerance that occurs during pregnancy. Poor control of blood glucose levels during pregnancy can increase the risk for miscarriage.
Twin Gestational- circulatory problems can occur if the umbilical cords tangle impeding circulation causing one or both fetus to die.
Hyperemesis- excessive vomiting that occurs during pregnancy that causes weight loss, electrolyte imbalance, nutritional deficiencies, ketonuria; it may be due to high levels of estrogen and hCG; can lead to lack of nutrition for fetus causing low weight and premature birth.
Hypertension (Preeclampsia)- development of hypertension and proteinuria after 20 weeks of pregnancy in a women who usually has normal blood pressure.
Incompetent Cervix- cervix that is unable to remain closed until a pregnancy reaches term because of a mechanical defect in the cervix resulting in dilation and effacement during the 1st and 2nd semester.
Thyroid- hormone secretion increases during pregnancy due to increased estrogen levels, thyroid activity increases causing an enlargement of thyroid gland. Although hyperthyriodism is rare it can occur during pregnancy.
Placenta Previa- placenta is implanted in the thin lower uterine segment such that is completely or partially covers the cervix or is close