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- 1. Headaches, Blurred Vision, Convulsions, Loss of Consciousness or Elevated Blood Pressure Managing Complications in Pregnancy and Childbirth
Notas do Editor
- EmOC Learning Resource Package These presentation graphics are based on the guide Managing Complications in Pregnancy and Childbirth: A guide for midwives and doctors (2000) by the World Health Organization.
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- EmOC Learning Resource Package Pre-eclampsia and eclampsia are serious conditions that must be promptly identified and treated.
- EmOC Learning Resource Package Hypertensive disorders of pregnancy include pregnancy-induced hypertension and chronic hypertension. Headaches, blurred vision, convulsions and loss of consciousness are often associated with hypertension in pregnancy, but are not necessarily specific to it. Other conditions that may cause convulsions or coma include epilepsy, complicated malaria, head injury, meningitis, encephalitis, etc.
- EmOC Learning Resource Package The presence of proteinuria changes the diagnosis from pregnancy-induced hypertension to pre-eclampsia. Other conditions (e.g., urinary infection, severe anemia, heart failure and difficult labor) cause proteinuria and false positive results are possible. Dipstick test for protein is a useful screening tool.
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- EmOC Learning Resource Package Close observation for toxicity is required.
- EmOC Learning Resource Package Magnesium sulfate should only be stopped temporarily if there are certain side effects, such as respiratory depression, decreased urine output or absent reflexes. If a woman is in respiratory arrest, calcium gluconate can reverse the effect of magnesium. Ventilation will be needed.
- EmOC Learning Resource Package Childbirth should take place as soon as the woman’s condition has stabilized. Delaying childbirth to increase fetal maturity will risk the lives of both the woman and the fetus.