This document discusses various diseases and complications that can occur during pregnancy. It covers topics such as asthma, diabetes, infections, preeclampsia, and other medical conditions that may impact a pregnancy. It also outlines complications that can arise during labor and delivery, including premature rupture of membranes, abnormal fetal presentation, shoulder dystocia, and fetal-pelvic disproportion. Some complications may require medical interventions like induction of labor, operative vaginal delivery, or Cesarean section. The risks of any medical procedures during pregnancy should be explained to the patient.

1. Pregnancy Complicated by
Disease

2. Introduction to Pregnancy Complicated
 Asthma in Pregnancy
 Autoimmune Disorders in Pregnancy
 Cancer in Pregnancy
 Diabetes Mellitus in Pregnancy (Gestational Diabetes)
 Fevers During Pregnancy
 Fibroids in Pregnancy
 Heart Disorders in Pregnancy
 Hepatic Disorders in Pregnancy

3.  Hypertension in Pregnancy
 Infectious Disease in Pregnancy
 Renal Insufficiency in Pregnancy
 Seizure Disorders in Pregnancy
 Disorders Requiring Surgery During Pregnancy
 Thromboembolic Disorders in Pregnancy
 Thyroid Disorders in Pregnancy
 Urinary Tract Infection in Pregnancy

4. Mostofthefollowingcomplicationsareevidentbeforeonsetoflabor:

5. • Multifetal pregnancy
• Postterm pregnancy
• Premature rupture of membranes
• Abnormal fetal presentation

6. Amniotic fluid embolism
Shoulder dystocia
Fetopelvic disproportion
Preterm labor
Protracted labor
Umbilical cord prolapse
Uterine rupture (rare)
Some of the following complications develop or become evident
during labor or delivery:

7. Some complications may require alternatives to
spontaneous labor and vaginal delivery.

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Induction of labor
Operative vaginal delivery
Cesarean delivery

9. Endoscopic surgery ›Diagnostic laparoscopy
remains a common cause of complaint.
Possible
risks should be explained.

10. Forceps Delivery Injury
 Tears and lacerations in the lower genital tract area
 Fecal and/or urinary continence
 Perineum pain
 Anemia
 Bladder injuries
 Urethra injuries

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