Gestational Trophoblastic Disease (GTD)

Types of GTD
Benign
•    Hydatidiform mole/molar pregnancy (complete or incomplete)
malignant
•    Invasive mole
•    Choriocarcinoma (chorioepithelioma)
•    Placental site trophoblastic tumor

Labor and Delivery

Labor
►    Regular, frequent, leading to progressive cervical effacement and dilatation
►    Braxton-Hicks contractions
    May be painful and regular, but usually are not
    Do not lead to cervical change
►    Labor diagnosis usually made in retrospect.
►    Cause of labor is unknown

Postpartum Hemorrhage(PPH)

Definition of PPH
• be defined as a blood loss exceeding 500ml after delivery of the infant

• PPH: occurs in 24 hour of delivery
• the late PPH: occurs after 24 hour of delivery to 6 weeks

Gestational diabetes mellitus (GDM)

Carbohydrate intolerance of varying degree of severity with onset or first recognition during pregnancy.

• Incidence

1%-2% (our country); 1%-10% (other countries)

Amniotic Fluid Embolism (AFE)

Definition of AFE
•    AFE is a rare obstetric emergency in which amniotic fluid, fetal cells, hair, or other debris enter the maternal circulation, causing cardiorespiratory collapse.

Hypertension in Pregnancy

• Complicate 10-20% of pregnancies

• Elevation of BP ≥140 mmHg systolic and/or ≥90 mmHg diastolic, on two occasions at least 6 hours apart.

THYROID DISEASES IN PREGNANCY

INTRODUCTION

► The evaluation and treatment of pregnant women with thyroid disease parallels that of nonpregnant women and men, but presents some unique problems. 

Shoulder Dystocia

Definition
§ Difficulty in delivery of fetal shoulders
§ Failure to deliver fetal shoulder without utilizing facilitating maneuvers
§ Prolonged head-to-body delivery time
§ >60 seconds
§ Incidence: 0.2-3% of all live births

Rh Disease

 

l Occurs during pregnancy when there is an incompatibility between the blood types of the mother and fetus

ABDOMINAL PAIN IN PREGNANCY

n Multiple causes including essentially all non pregnancy causes plus obstetric causes
n Clinical presentation & natural history often altered with pregnancy
n Diagnostic evaluation and treatment plans altered & limited
n Fetal wellbeing to be considered