M105-ACTIVITY#2 NoolJanine

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NAME: NOOL, JANINE V.

COURSE/YR LEVEL: BS MIDWIFERY 3RD YR


FACULTY: VHANNIE MAE D. RULLAN, RM. LMT,
BSM

ACTIVITY # 2:
MATERNAL HIGH-RISK FACTORS

1) Complications to the mother and its outcome.


A. Too Young
 Early pregnancies among adolescents have major health
consequences for adolescent mothers and their babies. Pregnancy
and childbirth complications are the leading cause of death
among girls aged 15–19 years globally, with low- and middle-
income countries accounting for 99% of global maternal deaths
of women aged 15–49 years. Adolescent mothers aged 10–19
years face higher risks of eclampsia, puerperal endometritis and
systemic infections than women aged 20–24 years. Additionally,
some 3.9 million unsafe abortions among girls aged 15–19 years
occur each year, contributing to maternal mortality, morbidity
and lasting health problems.
https://www.who.int/news-room/fact-sheets/detail/adolescent-
pregnancy

B. Too Old
 As you get older, you’re more likely than younger women to
have certain health conditions that can cause complications
before and during pregnancy, including;
Trouble getting pregnant (also called fertility problems). Each
woman is born with a set number of eggs. You release an egg
each time you ovulate, about 14 days before you have your
period. So as you get older, you have fewer and fewer eggs, and
the eggs you have aren’t easily fertilized by a man’s sperm. All
this makes it harder for you to get pregnant. If you’re older than
35 and have been trying for 6 months to get pregnant, tell your
health care provider. He may recommend fertility treatments that
can help you get pregnant.
Pre-existing diabetes. This is when you have too much sugar
(called blood sugar or glucose) in your blood. Too much blood
sugar can damage organs in your body, including blood vessels,
nerves, eyes and kidneys. Pre-existing diabetes means you have
diabetes before you get pregnant.
Gestational diabetes. This is a kind of diabetes that some women
get during pregnancy.
High blood pressure (also called hypertension). High blood
pressure is when the force of blood against the walls of your
blood vessels is too high.
Preeclampsia. This condition can happen after the 20th week of
pregnancy or right after pregnancy. It’s when a pregnant woman
has high blood pressure and signs that some of her organs like
her kidneys and liver, may not be working properly. Signs of
preeclampsia include having protein in the urine, changes in
vision and severe headaches. If you’re older than 40, your risk is
higher for preeclampsia than for younger women.
These health conditions can cause problems during pregnancy,
including:

Needing to have a c-section (also called cesarean birth). A c-


section is surgery in which your baby is born through a cut that
your doctor makes in your belly and uterus (womb). Like any
surgery, a C-section comes with risks, like infection and reaction
to anesthesia. The older you are, the more likely you are to have
pregnancy complications that make a C-section necessary.
Miscarriage. This is when a baby dies in the womb before 20
weeks of pregnancy.
Stillbirth. This is when a baby dies in the womb after 20 weeks
of pregnancy.
https://www.marchofdimes.org/complications/pregnancy-after-
age-35.aspx

C. Too Many
- experts believe that having pregnancies too close together
doesn't give the mother time to recover after losing nutrients
such as iron and folate after pregnancy and breastfeeding. This is
called maternal depletion syndrome.
Back-to-back pregnancies can deplete essential nutrients, making
mothers at higher risk for anemia and other complications such
as uterine rupture, and also putting their babies at risk of low
birth weight and preterm birth.
The more children you have, the more likely you have a
significant complication. The chances of having the baby not
lying in the right position when going into the labor, that's more
common.
After several pregnancies, the uterine muscles could fail to
contract after delivery, which is the most common cause of
postpartum hemorrhage. This excessive blood loss can be
stopped with medical attention and immediate treatment such as
a blood transfusion.
https://edition.cnn.com/2011/11/01/health/multiple-pregnancies-
mother/index.html

D. Too Close
- The timing of your pregnancies is important, too. While you
and your partner might have preferences about how close in age
you'd like your children to be, some research shows that how you
space your pregnancies can affect mother and baby.
Research suggests that beginning a pregnancy within six months
of a live birth is associated with an increased risk of:

 Premature birth
 The placenta partially or completely peeling away from the inner
wall of the uterus before delivery (placental abruption)
 Low birth weight
 Congenital disorders
 Schizophrenia
 Maternal anemia
In addition, recent research suggests that closely spaced
pregnancies might be associated with an increased risk of autism
in second-born children. The risk is highest for pregnancies
spaced less than 12 months apart.

E. Too ill

Flu is an infectious viral illness spread by coughs and


sneezes. It's not the same as a cold. Flu is caused by a
different group of viruses. Symptoms tend to be more
severe and last longer.
You can catch flu — short for influenza — all year round,
but it is especially common in winter.

If you are pregnant and think you have the flu, see your
doctor as soon as possible. It is recommended that
pregnant women who have the flu are treated with antiviral
medicines because they are at much higher risk of
complications. Antiviral medicines work best when started
within 48 hours of symptoms starting.

Antivirals will not cure flu, but they will help to:

 reduce the length of time you are ill by around one day
 relieve some of the symptoms
 reduce the potential for serious complications.

2) Complications to the infant.


A. Too Young
- Early childbearing can increase risks for newborn as well as
young mothers. Babies born to a too young mother face higher
risks of low birth weight, preterm delivery and severe neonatal
conditions. In some settings, rapid repeat pregnancy is a concern
for young mothers, as it presents further health risks for both the
mother and the child.
https://www.who.int/news-room/fact-sheets/detail/adolescent-
pregnancy

B. Too Old
- Birth defects, including Down syndrome. Birth defects are
health conditions that are present at birth. Birth defects change
the shape or function of one or more parts of the body. They can
cause problems in overall health, how the body develops or in
how the body works. Older women are more likely than younger
women to have a baby with a birth defect.
Low birth weight. This is when your baby is born weighing less
than 5 pounds, 8 ounces.
Being pregnant with multiples (twins, triplets or more). Older
women are more likely than younger women to get pregnant with
multiples. This can happen on its own because of changes in
your hormones with age, and some fertility treatments make
getting pregnant with multiples more likely. Being pregnant with
multiples can cause problems during pregnancy.
https://www.mayoclinic.org/healthy-lifestyle/getting-pregnant/in-
depth/pregnancy/art-20045756

C. Too Many
- As for babies born to a woman who already has many closely
spaced kids, they may experience growth restriction in the
womb, the babies just don't grow to their full size during the
pregnancy, and there can be nutritional factors as well.
https://www.nydailynews.com/life-style/health/health-risks-
pregnancies-stake-mom-19-michelle-duggar-women

D. Too Close

Researchers found that infants born to women who conceived


less than six months after giving birth had a 40% increased risk
for being born prematurely and a 61% increased risk of low birth
weight, compared with infants born to mothers who waited 18
months to two years between pregnancies. Babies whose mothers
had their previous child at least five years earlier had a 20% to
43% greater risk for being born prematurely, having a low birth
weight, or being small for their gestational age.

Although timing may not be everything, the analysis suggests


that better pregnancypregnancy spacing could have a dramatic
impact on neonatal complications and deaths.
https://www.webmd.com/baby/news/20060418/pregnancy-
spacing-affects-outcome

E. Too ill

- Flu is an infectious viral illness spread by coughs and sneezes. It's


not the same as a cold. Flu is caused by a different group of
viruses. Symptoms tend to be more severe and last longer.
- You can catch flu — short for influenza — all year round, but it
is especially common in winter.
- If you are pregnant and think you have the flu, see your doctor as
soon as possible. It is recommended that pregnant women who
have the flu are treated with antiviral medicines because they are
at much higher risk of complications. Antiviral medicines work
best when started within 48 hours of symptoms starting.
- Antivirals will not cure flu, but they will help to:
- reduce the length of time you are ill by around one day
- relieve some of the symptoms
- reduce the potential for serious complications
https://www.cdc.gov/ncbddd/birthdefects/features/kf-maternal-
cold-birth-defects-during-pregnancy.html

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