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DiseasesAffectingPregnancy Part 1
DiseasesAffectingPregnancy Part 1
DiseasesAffectingPregnancy Part 1
CO-EXISTING
DISEASES OF
PREGNANCY
CARDIAC DISEASE
Involves a variety of heart conditions
both congenital and acquired that
complicate pregnancy
Risk factors:
Rheumatic fever (90% of all cases)
Congenital defects of the heart
Arteriosclerosis
Myocardial infarction
Heart surgery
Pulmonary diseases
Renal diseases
CLASS II
(Slightly
Compromised)
Slight limitation
asymptomatic at rest,
regular/ordinary physical activities produce
palpitations, fatigue, dyspnea and angina pain
CLASS III
(Markedly
Compromised)
CLASS IV
(Severely
Compromised)
Complications in Pregnancy:
Congestive Heart Failure(Left sided
CHF)
Maternal dysrrhhytmia
Spontaneous abortion
Premature labor
IUGR
Assessment
Palpitations,tachycardia
Edema
Tachypnea
Fatigue
Dyspnea increasing with minimal
activity
Chest pain on exertion
Cyanosis
Persistent heart murmurs
Interventions
Monitor VS, FHR, condition of fetus
Encourage adequate nutrition
Maintain physical and mental rest
Monitor for signs of respiratory and other
infection
Encourage adequate nutrition
Compliance with Cardiac medications
Oxygen as needed
Frequent prenatal visit
Avoid constipation
Iron supplement to prevent anemia
Take daily fruits and vegetables:
regular bowel movement
regular exercise
medications
Diabetes Mellitus
Primary problem is controlling the
balance between insulin and blood
glucose levels to prevent
hyperglycemia and hypoglycemia
Insulin
Classification of DM:
GESTATIONAL DIABETES