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Gepubliceerd in:
hoofdstuk lezen eerste hoofdstuk lezen

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

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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
Bijlagen
Alleen toegankelijk voor geautoriseerde gebruikers
Woordenlijst
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.
Literatuur
1.
Bates SM, Middeldorp S, Rodger M, James AH, Greer I. Guidance for the treatment and prevention of obstetric-associated venous thromboembolism. J Thromb Thrombolysis. 2016;41:92–128.CrossRefPubMedPubMedCentral
2.
Bellamy L, Casas JP, Hingorani AD, Williams DJ. Pre-eclampsia and risk of cardiovascular disease and cancer in later life: systematic review and meta-analysis. BMJ. 2007;335(7627):974.CrossRefPubMedPubMedCentral
3.
Kennelly MA, McAuliffe FM. Prediction and prevention of gestational diabetes: an update of recent literature. Eur J Obstet Gynecol Reprod Biol. 2016;202:92–8.CrossRefPubMed
4.
Mol BW, Roberts CT, Thangaratinam S, Magee LA, De Groot CJ, Hofmeyr GJ. Pre-eclampsia. Lancet. 2016;387(10022):999–1011.CrossRefPubMed
5.
Pacheco LD, Saade G, Hankins GD, Clark SL; Society for Maternal-Fetal Medicine (SMFM). Electronic address: pubs@smfm.org. Amniotic fluid embolism: diagnosis and management. Am J Obstet Gynecol. 2016;215(2):B16–24.
6.
Pinheiro TV, Brunetto S, Ramos JG, Bernardi JR, Goldani MZ. Hypertensive disorders during pregnancy and health outcomes in the offspring: a systematic review. J Dev Orig Health Dis. 2016;7(4):391–407.CrossRefPubMed
7.
8.
Romero R, Nicolaides KH, Conde-Agudelo A, O’Brien JM, Cetingoz E, Da Fonseca E, Creasy GW, Hassan SS. Vaginal progesterone decreases preterm birth ≤ 34 weeks of gestation in women with a singleton pregnancy and a short cervix: an updated meta-analysis including data from the OPPTIMUM study. Ultrasound Obstet Gynecol. 2016;48(3):308–17.CrossRefPubMedPubMedCentral
9.
Schneeberger C, Geerlings SE, Middleton P, Crowther CA. Interventions for preventing recurrent urinary tract infection during pregnancy. Cochrane Database Syst Rev. 2015;(7):CD009279.
10.
Metagegevens
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
Copyright
2024
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