drugs used in obstetrics-2.pptx
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Drugs are commonly used during pregnancy, but many can have undesirable effects on the fetus. Certain drugs should be avoided during pregnancy to prevent potential harm. Careful consideration of risks and benefits is important when determining appropriate drug use for both mother and baby.
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A high risk pregnancy is one complicated by factors that adversely impact maternal or fetal outcomes. Initial screening considers maternal age and reproductive history, including prior miscarriages, preterm births, or babies with health issues. Medical disorders like infections, cardiac issues, and pre-eclampsia can also increase risk. Examinations evaluate uterine size and pelvic structure, while special tests may be needed. High risk pregnancies face greater risks of complications during labor, delivery, postpartum, and for the newborn. Care involves counseling, specialized antenatal and delivery management.
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This document provides information on various obstetrical emergencies presented in a seminar, including definitions, symptoms, diagnosis, management, and nursing considerations. Vasa previa is defined as blood vessels from the umbilical cord or placenta crossing the cervix without Wharton's jelly covering. Symptoms include vaginal bleeding. Diagnosis is via color Doppler and emergency c-section is required if membranes rupture. Amniotic fluid embolism causes pulmonary vasospasm and coagulopathies. Symptoms include respiratory distress and hemorrhage. Management focuses on hemodynamic support and delivery. Other emergencies discussed include obstetric shock, cord prolapse, and uterine inversion.
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This document discusses breech presentation, including its definition, types, diagnosis, and management. Some key points:
- Breech presentation is when the buttocks or lower limbs present first. It occurs in 3.5% of term deliveries and up to 25% of preterm deliveries.
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2. It cannot be reliably predicted but certain risk factors like macrosomia, diabetes, and large babies in previous pregnancies increase likelihood.
3. When shoulder dystocia occurs, a series of maneuvers called HELPERR should be performed which include applying suprapubic pressure, rotating the baby's shoulders, and in severe cases rolling the mother onto her side to disimpact the shoulders.
Magnesium sulfate during pregnancy
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- 1. DRUGS USED IN OBSTETRICS
- 2. INTRODUCTION Most of the women are exposed to drugs of one type or another during pregnancy. However many drugs have undesirable effects on the fetus and should therefore be avoided during pregnancy.