Complications in Pregnancy

At the end of this course, students should be able to: 1. list the various forms of hypertensive disorders of pregnancy; 2. differentiate between pre-eclampsia and eclampsia; 3. describe the effect of pre-eclampsia/eclampsia on fetal and maternal outcome; 4. list the signs and symptoms of eclampsia; 5. describe how to evaluate a patient with eclampsia; 6. explain the role of antihypertensives and anticonvulsants in the management of eclamptic patients; 7. illustrate the role of supportive care in management of patients with the conditions; 8. define antepartum haemorrhage (APH); 9. describe the different types of APH in terms of clinical presentations and the use of ultrasound in the diagnosis and management of APH; 10. define PROM; 11. explain the aetiology of PROM; 12. describe how to diagnose and manage cases of PROM. 13. define the various postpartum haemorrhage (PPH); 14. describe the contribution of PPH to maternal mortality; 15. list the complications of PPH; 16. explain the principles of managing PPH and the role of uterotonics including misoprostol in the management of PPH; and 17. describe the role of active management of 3rd stage of labour in preventing PPH.

Hypertensive disorders in pregnancy, pre-eclampsia/eclampsia. Antepartum haemorrhage. Placenta praevia. Antepartum haemorrhage. Placental abruption. Preterm labour and delivery. Cervical incompetence. Premature rupture of membranes. Cord prolapse. Multiple pregnancy. Breech presentation. Unstable and abnormal lies and presentations.