1. PREGNANCY INDUCED HYPERTENSION PIH

21. Complications More Morbidity/Mortality Septic shock Meconium aspiration CVA, Seizures Small for age Rupture of Liver Intracranial Hemorrhage ARF Oligohydromnios PPH IUG retardation Placental Abruption Respiratory Distress CCF with pulmonary edema Pre-maturity DIC Fetal Maternal

22. Symptoms of PIH Coagulopathy Thrombocytopnia Platelet dysfunction Microangiopathic hemolysis Hematological Protienuruia, Sodium retention Decreased GFR Renal Failure Renal Impaired function, Elevated enzymes Hematoma, Rupture Hepatic Decreased intravascular volume Increased arteriolar resistance Hypertension, Heart failure Cardiovascular Upper airway edema Pulmonary edema Pulmonary Headach, Visual distubances Hyperexcitability, Seizers Intracranail hemorrhages, Cerebral edema Neurological

28. ANTIHYPERTENSIVES caution No Myocardial depressants No Adversely effect fetal and neonatal blood pressure control , skull defects, oligohydromnios , toxicity Not in late pregnancy Caution Alpha Blockers Calcium Channel Blocker ACE inhibitors /Angiotensin II receptor antagonist Beta Blocker Diuretic

32. Pre-Operative Evaluation

35. What condition mandate immediate Delivery

39. Serum levels of Magnesium Sulphate Asystole 20 mEq/L Respiratory Arrest 15 mEq/L Loss of deep tendon reflexes Prolonged P-Q interval Widening QRS complexes 10 mEq/L Therapeutic range 5 mEq/L

43. Intraoperative Management

51. The End

52. Pathology of pregnancy, childbirth and the perpurium Maternal death Other Fetal intervention - Fetal surgery Complications related to the fetus Puerperal fever - Peripartum cardiomyopathy - Postpartum thyroiditis - Galactorrhea - Postpartum depression Maternal complications in the weeks after childbirth Premature birth - Postmature birth - Cephalopelvic disproportion - Dystocia ( Shoulder dystocia ) - Fetal distress - Vasa praevia - Uterine rupture - hemorrhage - Placenta accreta - Umbilical cord prolapse - Amniotic fluid embolism Complications of labour and delivery Polyhydramnios - Oligohydramnios - Chorioamnionitis - Premature rupture of membranes - Amniotic band syndrome - Placenta praevia - Braxton Hicks contractions - Antepartum haemorrhage – abruption Maternal care related to the F etus and amniotic cavity & possible delivery problems Hyperemesis gravidarum - Gestational pemphigoid - Intrahepatic cholestasis of pregnancy Other, predominantly related to pregnancy Pregnancy-induced hypertension - Pre- eclampsia - Eclampsia - Gestational diabetes Oedema , proteinuria and hypertensive disorders Ectopic pregnancy - Hydatidiform mole - Miscarriage Pregnancy ē abortive outcome