Maternal Complications During Pregnancy -

*occurs during pregnancy*develops in approximately 2.5% of pregnancies*glucose screening test is given between 24-28 weeks

*Will Not Give Diagnosis*Will decide whether or not more testing needs to be done**3 HOUR GLUCOSE TOLERANCE TEST IS MORE DEFINITIVE EXAM**

*previous still birth*previous macrosomic infant*family history of diabetes*obesity*fetus with congenital anomalies*later onset of disease means less likely to be associated with congenital anomalies

*have prior to pregancy*TYPE 1 - Insulin Dependent (juvenile onset)*TYPE 2 - Non iNSULIN DEPENDENT

*hypoglycemia*polyhydramnios*PIH (pregnancy induced hypertension)*renal dysfunction

*LGA/ macrosomia - large for gestational age/ fetal weight in excess of 4,000 grams or birth weight above the 90th percentile per gestational age*polyhydramnios*hydrops fetalis

*accumulation of fluid or edema in at least 2 compartments - scalp edema (subcutaneous tissue)- pleural effusion- pericardial effusion- ascites

1. Immune - due to Rh sensitivity2. Non-Immune- can be caused by anything; infection, virus, chromosomal abnormality

*defined as blood pressure greater than 140/90

1. chronic hypertension (pregnancy unrelated)2. PIH -> AKA pre-eclampsia, toxemia

*edema*rapid weight gain*high blood pressure*proteinuria

Eclampsia

*seizures*headaches*blurred vision*coma, death, stroke (eclampsia)

*hypertensive meds*bed rest*delivery

*oligohydramnios*IUGR*prematurity*placental abruption