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PREGNANCY COMPLICATIONS
PREGNANCY-INDUCED HYPERTENSION [PIH] PREECLAMPSIA
PREGNANCY-INDUCED HYPERTENSION [PIH] ,[object Object],[object Object],[object Object]
GESTATIONAL HYPERTENSION ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
CHRONIC HYPERTENSION  IN PREGNANCY ,[object Object]
Effects of pregnancy on the disease ,[object Object],[object Object],[object Object],[object Object],[object Object]
Effects of the disease on pregnancy ,[object Object],[object Object]
MANAGEMENT ,[object Object],[object Object],[object Object],[object Object],[object Object]
General Management ,[object Object],[object Object],Obstetric Management
Antihypertensive Drugs ,[object Object],[object Object],[object Object],[object Object]
PREECLAMPSIA  ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
 
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
SIGNS AND SYMPTOMS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CAUSES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RISK FACTORS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
SCREENING & DIAGNOSIS ,[object Object],[object Object],[object Object],[object Object]
[object Object]
COMPLICATIONS OF PREECLAMPSIA  ,[object Object],[object Object]
The warning signs and symptoms of ECLAMPSIA : ,[object Object],[object Object],[object Object],[object Object]
Problems for the fetus ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
INTRAUTERINE  GROWTH RETARDATION [IUGR]
[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object]
How does it occur?  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Some of the conditions that can cause IUGR : ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Developed & Developing Countries
SIGNS AND SYMPTOMS ,[object Object],[object Object]
DIAGNOSIS ,[object Object],[object Object]
[object Object],[object Object],[object Object]
 
[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
CAUSES  ,[object Object],[object Object],[object Object]
[object Object],[object Object]
Relationship of socio-environment to IUGR   ,[object Object],[object Object],[object Object],[object Object]
IUGR and Smoking
IUGR and Alcohol
Fetal Factors
Ultrasound and Doppler studies in IUGR   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Invasive Techniques ,[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object]
Treatment of IUGR ,[object Object],[object Object],[object Object]
[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
GESTATIONAL  DIABETES MELLITUS [GDM]
GESTATIONAL DIABETES ,[object Object],[object Object],[object Object],[object Object]
GLYCOSURIA IN PREGNANCY ,[object Object]
CAUSES  ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Significance ,[object Object],[object Object],[object Object]
Investigations in a case of glycosuria ,[object Object],[object Object],[object Object]
Indications of glucose tolerance test ,[object Object],[object Object],[object Object]
GESTATIONAL DIABETES  ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Criteria for diagnosis of GDM with 100 g oral glucose tolerance test GTT Time Whole blood  (mg%) Plasma  (mg%) Fasting 90 105 1 hour 165 190 2 hours 145 165 3 hours 125 145 If any 2 or more values are elevated, the glucose tolerance test result must be considered abnormal.
Criteria for diagnosis of impaired glucose tolerance and diabetes with 75 g (WHO) oral glucose Plasma (mg%) Time Normal Impaired glucose tolerance Diabetes Fasting <105 105 to <140 >/=140 2 hours post glucose <160 160 to <200 >/=200 ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
OVERT DIABETES  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Priscilla White’s classification of pregnant diabetes Class – A Class – B Class – C Class – D Class – E Class – F Class – R Gestational diabetes Overt diabetes – onset > age 20, duration <10 yrs Overt diabetes – onset < age 20,  “ ” <10-19 yrs Overt diabetes – onset < age 10,  “ ”  20 yrs. Benign retinopathy Calcified pelvic vessels Diabetic nephropathy with proteinuria Malignant diabetic retinopathy
Current classification of pregnant diabetics Group – A Group – B Group – C Gestational diabetes Overt diabetes without vasculopathy Diabetes with vasculopathy (retinopathy and/or nephropathy)
EFFECTS OF PREGNANCY ON DIABETES ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
COMPLICATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object]
COMPLICATIONS ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Maternal: During pregnancy ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Fetal hazards ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Early detection of fetal anomalies ,[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object]
MANAGEMENT
Thank You

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Pregnancy-Complications-10-08-07.ppt

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  • 29. INTRAUTERINE GROWTH RETARDATION [IUGR]
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  • 65. GESTATIONAL DIABETES MELLITUS [GDM]
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  • 77. Criteria for diagnosis of GDM with 100 g oral glucose tolerance test GTT Time Whole blood (mg%) Plasma (mg%) Fasting 90 105 1 hour 165 190 2 hours 145 165 3 hours 125 145 If any 2 or more values are elevated, the glucose tolerance test result must be considered abnormal.
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  • 83. Priscilla White’s classification of pregnant diabetes Class – A Class – B Class – C Class – D Class – E Class – F Class – R Gestational diabetes Overt diabetes – onset > age 20, duration <10 yrs Overt diabetes – onset < age 20, “ ” <10-19 yrs Overt diabetes – onset < age 10, “ ” 20 yrs. Benign retinopathy Calcified pelvic vessels Diabetic nephropathy with proteinuria Malignant diabetic retinopathy
  • 84. Current classification of pregnant diabetics Group – A Group – B Group – C Gestational diabetes Overt diabetes without vasculopathy Diabetes with vasculopathy (retinopathy and/or nephropathy)
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