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2024 | OriginalPaper | Hoofdstuk

25. Gestational disorders

Auteurs : Dr. Marjon de Boer, MD/PhD, Prof. dr. Pim W. Teunissen, Dr. Wessel Ganzevoort, Prof. dr. 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 lives shortly after pregnancy, as well as in later life. Other gestational diseases discussed are gestational diabetes, cholestasis of pregnancy, amniotic fluid embolism, thrombosis and urinary tract infection. The different pathophysiological mechanisms, treatment options and consequences for these pregnancy-related disorders are also described.

vorige hoofdstuk Early pregnancy disorders

volgende hoofdstuk Multiple pregnancy

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Acute cystitis

An inflammation of the bladder.

Acute pyelonephritis

An upper urinary tract infection.

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.

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.

Eclampsia

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

Gestational diabetes

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

HELLP syndrome

Haemolytic anaemia, elevated liver enzymes and low platelet count.

Preeclampsia

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

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.

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.

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Titel: Gestational disorders
Auteurs: Dr. Marjon de Boer, MD/PhD
Prof. dr. Pim W. Teunissen
Dr. Wessel Ganzevoort
Prof. dr. Christianne J. M. de Groot
Uitgeverij: Bohn Stafleu van Loghum
Boek: Textbook of Obstetrics and Gynaecology
Print ISBN: 978-90-368-2993-9

Elektronisch ISBN: 978-90-368-2994-6

Copyright: 2024
DOI: https://doi.org/10.1007/978-90-368-2994-6_25

Bohn Stafleu van Loghum

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