High risk pregnancy:
High risk pregnancy is defined as one which is complicated by factor or factors that adversely affect the pregnancy outcome -maternal or perinatal or both.
Signs of high risk pregnancy.
1.Swelling of the feet.
2.Blurring of vision.
3.Per-vaginal discharge.
4.Per-vaginal bleeding.
5.Convulsion.
Criteria of high risk pregnancy:
1.During pregnancy.
Elderly primi(>30years of age)
Short stature primi(<140cm)
Threatened abortion & antepartum haemorrhage.
Malpresentation.
Pre-eclampsia & Eclampsia.
Anaemia.
Elderly grand multiparas.
Twins & polyhydramnios.
Manual removal of placenta.
Prolong labour.
History of previous caesarean section & instumental delivery.
Pregnancy associated with mdical disease.
2.During labour.
Pre mature rupture of membranes.
Prolong labour.
Head,feet and cord prolapse.
Post -partum haemorrhage.
Puerperal haemorrhage.
Select cases for hospital delivery.
High risk cases: The cases are assessed at the initial antenatal examination, preferably in the 1st trimester of pretnancy.
Family history:
Socio-economic condiction:Poor socio-economic status has a high incidence of anaemia,IUG& preterm labour.
Family history of a diabetes mellitus,hypertension,multiple pregnancy, congenital anomalis. Obstetric history:
Two or more previous spontaneous abortion.
Previous still birth, neonata,death death or birth of babies with congenital anomaly.
Previous preterm or small for date or big baby.
Grand multiparity.
Previous caesarean section or hysterectomy.
Pre-eclampsia or eclampsia.
Third stage abnormalitis.
History of medical disease:
Pulmonary disease.
Viral hepatitis.
Cardiac disease.
Renal disease.
Throid disease.
Epilepsy.
Post surgical history:
Myomectomy.
Repair of vesico-vaginal history.
Repair of complete perineal tear.
Repair of stress incontinence.
General examination:
Hight:<150cm.
Weight:Overweight or underweight both are risk factor.
High blood pressure.
Anaemia.
Cardiac or pulmonary disease.
Pre abdominal examination :
Genital prolapse.
Dialatation of the cervix.
Assiociated tuomer.
Follow up:
1.Pre-eclampsia.
2.Anaemia.
3.High-fever.
4.Pyelonepritis.
5.Haemorrhage.
6.DM.
7.Lage uterus.
8.Lac of uterine growth.
9.Post maturity.
10.Twin pregnancy.
High risk pregnancy is defined as one which is complicated by factor or factors that adversely affect the pregnancy outcome -maternal or perinatal or both.
Signs of high risk pregnancy.
1.Swelling of the feet.
2.Blurring of vision.
3.Per-vaginal discharge.
4.Per-vaginal bleeding.
5.Convulsion.
Criteria of high risk pregnancy:
1.During pregnancy.
2.During labour.
Select cases for hospital delivery.
High risk cases: The cases are assessed at the initial antenatal examination, preferably in the 1st trimester of pretnancy.
Family history:
History of medical disease:
Post surgical history:
General examination:
Pre abdominal examination :
Follow up:
1.Pre-eclampsia.
2.Anaemia.
3.High-fever.
4.Pyelonepritis.
5.Haemorrhage.
6.DM.
7.Lage uterus.
8.Lac of uterine growth.
9.Post maturity.
10.Twin pregnancy.
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