Labour During pregnancy-during pregnancy

Labour During pregnancy

  Prolognedlabour, Hand, feet or cord prolapse, Placenta retained more then half an hour, P.P.H., Puerperal fever and sepsis.

v Medical or surgical disorders

Diseases -

v Pulmonary disease- tuberculosis

v Renal disease (pyelonephritis)

vThyroid disorders

v Psychiatric illness

v Cardiac disease

v Epilepsy

vViral hepatitis

Previous operation –

v Myomectomy

v Repair of complete perineal tear

v Repair of vesico-vaginal fistula

v Repair of stress incontinence

In all these conditions, fetal or maternal outcome or both may be affected.

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Pregnancy Initial Screening History-,Pregnancy

Pregnancy Initial Screening History

# Maternal age: Pregnancybelow the age of 17 or above the age of 35 years. Primingravidea above the age of 30 years. Pregnancy is safest between the ages of 2o-29 years. Pregnancy following a long period of infertility and after induction of ovulation.

#Reproductive history: Second and third pregnancies after a normal first delivery carry the low risk.

The high risk factors, in reproductive history are:

# Two or more previous abortions or previous induced abortion. These cases run the risk of further abortion or preterm delivery.

# Previous stillbirth, neonatal death or birth of babies with congenital abnormality.

# previous preterm labour or birth of a small for date baby or, weight of baby 3.5 kg or more.

# Grand multiparty

# Previous Cesarean section or hysterectomy.

# pre-eclampsia, eclampsia

# third stage abnormalities this has a particular tendency to recur.

# previous infant with Rh-isoimmu nisation or ABO incompatibility.

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