My Insights about ABORTION

When we hear the word abortion the first thing that comes to a
persons mind is forced expulsion of a baby from a mothers womb. Most of
us do, especially when a person is not well oriented on what abortion is all
about. But, if we dig deeper into it and do some research or further study
about abortion, we can learn a lot of information regarding the topic.
As a nursing student I am well aware about abortion. I know some
causes and risk factors of this complication during pregnancy but not all of it.
Thats why reading in advance gave me more range of information about
abortion. I knew that abortion happens during the first trimester of
pregnancy, the stage where the fetus is just developing. Abortion could
happen if there is an abnormal development of the zygote and it may result
to congenital anomalies if not aborted. This condition is affected by many
factors such as exposure of the mother to radiation, incompetent cervix,
infection and many more. There are several types of abortion that may
occur, specifically, there are seven: septic, habitual, missed, complete,
incomplete, inevitable, and threatened abortion. Each of this types have its
own characteristics. I will not explain it one by one to shorten this insight.
Being a health practitioner, we have our responsibilities in handling
this kind of complication. Bed rest for the mother is strongly advised and
careful monitoring of bleeding is important. Some surgical procedures may
be done such as dilation and curettage.
Thats all I could say about abortion for now.

My Insights about PREMATURE RUPTURE OF MEMBRANES (PROM)

By the name itself, we can have an initial background on what
premature rupture of membranes or PROM is all about.
It is the rupture of the chorioamniotic membrane before the onset of
labor or start of uterine contractions. Usually it occurs before 37 week AOG.
According to what I have read, PROMs etiology is unknown and it may be
caused by weakness of physiologic membranes and subclinical infections
may play a role. Just like any pregnancy complications, PROM has its own risk
factors such as cervical insufficiency, polyhydramnios, history of PROM,
cigarette smoking of the mother, vaginal bleeding in the third trimester, and
many more. PROM could also cause other complications including RDS,
hypoplasia of lung, and placental detachment.
In diagnosing a mother with PROM, history taking is the very first thing
to do before any diagnostic procedures. In treating PROM, steroids always
play a role.
This information is just the tip of an iceberg about PROM.

My Insights about PREGNANCY INDUCED HYPERTENSION (PIH)

For my final insight, Im going to have PIH or pregnancy-induced
hypertension.
Hypertension in pregnancy have two classifications: chronic HTN
wherein the BP is high before pregnancy or before 20 weeks AOG, and
gestational HTN which develops after 20 weeks AOG and remits by 6 weeks
postpartum. I understood that the hypertensive effect that the mother is
experiencing during pregnancy is a stress response. Gestational edema and
gestational proteinuria could occur with this complication.
PIH is risky in both the mother and the fetus as it could cause growth
retardation on the fetus. To manage this, we should stabilize the BP of our
patients below 160/100 mmHg and monitor the maternal and fetal well
being. Antihypertensive drug use is very controversial and it could only be
used when the BP exceeds beyond 160/100 mmHg.
Thats all folks.