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Gepubliceerd in:

2019 | OriginalPaper | Hoofdstuk

19. Gestational disorders

Auteurs : Dr Marjon de Boer, Pim W. Teunissen, Christianne J. M. de Groot

Gepubliceerd in: Textbook of Obstetrics and Gynaecology

Uitgeverij: Bohn Stafleu van Loghum

Summary

Gestational disorders are diseases related to pregnancy. The most common gestational disorders include hypertensive diseases and preterm birth. Both have a major impact on women and their children’s life shortly after pregnancy as well as in later life. Other gestational diseases that will be discussed are gestational diabetes, cholestasis of pregnancy, amniotic fluid embolism, thrombosis, urinary tract infection and trauma. The different pathophysiological mechanisms, treatment options and consequences for these pregnancy-related disorders will be described.

vorige hoofdstuk Early pregnancy disorders

volgende hoofdstuk Chronic risk conditions and pregnancy

Alleen toegankelijk voor geautoriseerde gebruikers

Preeclampsia

A pregnancy-specific, multi-systemic disorder clinically characterized by hypertension and proteinuria and/or involvement of other organs

Eclampsia

A pregnancy complication which clinically manifests as generalized tonic-clonic seizures and occurs in 1–2 % of pregnancies complicated by preeclampsia

HELLP syndrome

Haemolytic anaemia, elevated liver enzymes and low platelet count

Preterm birth

Defined as birth below a gestational age of 37 weeks

Preterm prelabour rupture of membranes (PPROM)

Defined as rupture of membranes below a gestational age of 37 weeks

Gestational diabetes

Abnormal glucose tolerance first recognized in pregnancy and distinguished from diabetes known before pregnancy

Cholestasis of pregnancy

Classically presents in the third trimester with pruritus, typically of the palms and soles but can be anywhere, in the absence of a rash, abnormal liver function, and raised serum bile acid levels

Amniotic fluid embolism

A rare but potentially lethal condition. It appears to involve a complex sequence of events triggered by entrance of material from the foetal compartment into the maternal circulation, resulting in an abnormal activation of pro-inflammatory mediator systems

Thrombosis

A major cause of maternal death due to a blood clot inside a blood vessel, obstructing the flow of blood through the circulatory system. It can be present in the lung, pulmonary embolism or brain, cerebral venous sinus thrombosis

Acute cystitis

An inflammation of the bladder

Acute pyelonephritis

An upper urinary tract infection

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Titel: Gestational disorders
Auteurs: Dr Marjon de Boer
Pim W. Teunissen
Christianne J. M. de Groot
Uitgeverij: Bohn Stafleu van Loghum
Boek: Textbook of Obstetrics and Gynaecology
Print ISBN: 978-90-368-2130-8

Elektronisch ISBN: 978-90-368-2131-5

Copyright: 2019
DOI: https://doi.org/10.1007/978-90-368-2131-5_19

Bohn Stafleu van Loghum

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