There are reasons why there is there is a lot of emphasis on Women's Health when it comes to medicine.
One of those reasons is because women have a uterus, which effects their health throughout most of life, from their menstrual cycle, pregnancy, and menopause - All of which, can have their own complications.
In regards to pregnancy - while a beautiful thing, can have complications as well, because carrying a baby to term isn't as easy as you might think. Everything has to run smoothly, such as managing your nutrition, weight, and blood sugars, in order to birth a healthy human after 9 months.
So, for those 9 months, what are the things you want to look out for, which might indicate a major complication?
Placental Abruption aka Abruptio Placentae:
- Pregnancy in late third trimester
- Sudden onset of dark-red vaginal bleeding
- Painful, solid/hard uterus
- Risk for severe bleeding or hemorrhage
- Treatment is immediate delivery
- Seen more in women with a history of high blood pressure and/or drug abuse
Placenta Previa:
- Typically seen in women who have had multiple pregnancies, and is in the 2nd or 3rd trimester
- New onset, painless, bright red vaginal bleeding
- Soft and painless uterus
- Treatment is bedrest
- If there is uterine cramping, then IV magnesium sulfate is administered
- Vaginal or rectal invasive assessment is NOT appropriate
- If cervix is too dilated or there is severe bleeding, then deliver baby immediately
Preeclampsia:
- Typically seen in women in their first pregnancy, in the third trimester
- Sudden onset of severe headaches and vision changes
- Swelling seen around the face and fingers
- Right upper abdominal pain
- Blood pressure sustained above 140/90 mmHg
- Protein in urine and low urine output
- Look out for nausea and vomiting, as this may indicate swelling of the brain
- Can lead to ECLAMPSIA, which is where the patient will have seizures
- Treatment is immediate delivery of the baby
HELLP Syndrome (Hemolysis, Elevated Liver Enzymes, and Low Platelets):
- Typically seen in women with a history of multiple pregnancies, older than 25 years of age, and in their third trimester
- Signs and symptoms of Preeclampsia (refer to above)
- Right upper abdominal pain
- Nausea, vomiting, and bodyaches
- Labs demonstrate elevated liver enzymes, bilirubin, lactate dehydrogenase, and low platelets and hemoglobin/hematocrit.
While you can't prevent all complications, you can educate yourself on the signs and symptoms to look out for during pregnancy.