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 edition
- Chapter 7, “When Pregnancy Becomes Complicated”, page 118
- Chapter 14, “When Childbirth Becomes Complicated”, page 270
A. Conditions affecting pregnancy
- High blood pressure
- Heart disease
- Sickle cell anemia
- Eating disorders
- Gastrointestinal illness
- Asthma
- Hormonal imbalance
- Autoimmune disorder
- Kidney disease
- Mental health
B. Complications in pregnancy
- Vaginal bleeding
- Ectopic pregnancy
- Miscarriage
- Fever
- Severe nausea and vomiting
- Uterine fibroids
- Venous thrombosis
C. Infections
- Group B Streptococcus
- Sexually Transmitted Infections (STI)
- Bladder infection
- Vaginal infection
- Listeriosis
- Toxoplasmosis
D. Health concerns
- Diabetes mellitus
- Gestational diabetes mellitus
- RH or Rhd blood incompatibility
- Preeclampsia
E. Preterm Labor
- Risk factors
- Signs of preterm labor
- Diagnosing preterm labor
- Treating preterm labor
- What to expect during preterm labor
- Care of premature baby
F. Placenta complications
- Placenta previa
- Placental abruption
G. Diagnostic Tests
- Ultrasound
- Doppler
- Magnetic resonance imaging (MRI)
- Vaginal smear
- Glucose tolerance test
- Amniocentesis
- Chorionic villus sampling
- Percutaneous umbilical blood sampling
- Evaluating amniotic fluid
- Fetal scalp stimulation
H. Late Pregnancy Tests
- Non stress test
- Biophysical profile
- Contraction stress test
I. Labor Concerns
- Failed epidural
- Prolonged active labor
- Rapid birth
- Prolonged second stage
- Prolapsed cord
J. Breech Presentation
Resources – Read: Breech Baby Resources article
- Types of breech presentation
- Self techniques to turn breech baby
- Acupuncture
- Webster technique
- External version
K. Complications in Third Stage of Labor
- Postpartum hemorrhage
- Uterine atony
- Lacerations
- Retained placenta
L. Unexpected Outcomes
Resources – go to National Share.org
- Birth defect
- Serious illness
- Infant death
- Uterine rupture
- Death of mother
Assignment
Next Study Module #8 Childbirth Medications and Interventions