7. Complications in Childbirth

Use this outline to guide your study and reading. You should know the concepts outlined.  Tip: Write down or type up your understanding of everything outlined for your own records.

Objectives:

  • Understand ways to reduce risk of serious complications
  • Describe diagnostic prenatal tests and their benefits
  • List ways to resolve labor complications through non medical strategies
  • Analyze reasons for induction and list non medical methods

Study

Book – Pregnancy, Childbirth, and the Newborn 2016 version

  • Chapter 7, “When Pregnancy Becomes Complicated”, page 118
  • Chapter 14, “When Childbirth Becomes Complicated”, page 270

A. Conditions affecting pregnancy

  1. High blood pressure
  2. Heart disease
  3. Sickle cell anemia
  4. Eating disorders
  5. Gastrointestinal illness
  6. Asthma
  7. Hormonal imbalance
  8. Autoimmune disorder
  9. Kidney disease
  10. Mental health

B. Complications in pregnancy

  1. Vaginal bleeding
  2. Ectopic pregnancy
  3. Miscarriage
  4. Fever
  5. Severe nausea and vomiting
  6. Uterine fibroids
  7. Venous thrombosis

C. Infections

  1. Group B Streptococcus
  2. Sexually Transmitted Infections (STI)
  3. Bladder infection
  4. Vaginal infection
  5. Listeriosis
  6. Toxoplasmosis

D. Health concerns

  1. Diabetes mellitus
  2. Gestational diabetes mellitus
  3. RH or Rhd blood incompatibility
  4. Preeclampsia

E. Preterm Labor

  1. Risk factors
  2. Signs of preterm labor
  3. Diagnosing preterm labor
  4. Treating preterm labor
  5. What to expect during preterm labor
  6. Care of premature baby

F. Placenta complications

  1. Placenta previa
  2. Placental abruption

G. Diagnostic Tests

  1. Ultrasound
  2. Doppler
  3. Magnetic resonance imaging (MRI)
  4. Vaginal smear
  5. Glucose tolerance test
  6. Amniocentesis
  7. Chorionic villus sampling
  8. Percutaneous umbilical blood sampling
  9. Evaluating amniotic fluid
  10. Fetal scalp stimulation

H. Late Pregnancy Tests

  1. Non stress test
  2. Biophysical profile
  3. Contraction stress test

I. Labor Concerns

  1. Failed epidural
  2. Prolonged active labor
  3. Rapid birth
  4. Prolonged second stage
  5. Prolapsed cord

J. Breech Presentation

Resources – Read: Breech Baby Resources article

  1. Types of breech presentation
  2. Self techniques to turn breech baby
  3. Acupuncture
  4. Webster technique
  5. External version

K. Complications in Third Stage of Labor

  1. Postpartum hemorrhage
  2. Uterine atony
  3. Lacerations
  4. Retained placenta

L. Unexpected Outcomes

Resources – go to National Share.org

  1. Birth defect
  2. Serious illness
  3. Infant death
  4. Uterine rupture
  5. Death of mother

Complete Module Assignment


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