1 Elsevier items and derived items © 2010 by Saunders, an imprint of Elsevier Inc. Chapter 3 Antenatal Assessment and High-Risk Delivery

2 Elsevier items and derived items © 2010 by Saunders, an imprint of Elsevier Inc. Maternal History and Risk Factors  Preterm delivery  Before 37 weeks of gestation  Cervical insufficiency  Toxic habits of pregnancy  Smoking  Illegal drugs  Alcohol

3 Elsevier items and derived items © 2010 by Saunders, an imprint of Elsevier Inc. Maternal History and Risk Factors (cont.)  Hypertension  Preeclampsia  Diabetes mellitus  Pregestational diabetes  Gestational diabetes  Infectious disease  Group B Streptococcus

4 Elsevier items and derived items © 2010 by Saunders, an imprint of Elsevier Inc. Maternal History and Risk Factors (cont.)  Fetal membranes  Premature rupture of membranes  Umbilical cord abnormalities  Number of vessels  Length of cord  Placenta  Placenta abruptio  Placenta previa

5 Elsevier items and derived items © 2010 by Saunders, an imprint of Elsevier Inc. Maternal History and Risk Factors (cont.)  Amniotic fluid  Oligohydramnios  Polyhydramnios  Mode of delivery  Position of the fetus  Breech

6 Elsevier items and derived items © 2010 by Saunders, an imprint of Elsevier Inc. Antenatal Assessment

7 Elsevier items and derived items © 2010 by Saunders, an imprint of Elsevier Inc. Antenatal Assessment (cont.)  Amniocentesis  Diagnostics Lung maturity Lung maturity Abnormalities Abnormalities  Laboratory results  Chromosomal

8 Elsevier items and derived items © 2010 by Saunders, an imprint of Elsevier Inc. Nonstress and Contractal Stress Test  Placental function  Fetal heart rate Movement Movement  Nonstress test Contractions Contractions  Stress test

9 Elsevier items and derived items © 2010 by Saunders, an imprint of Elsevier Inc. Contractal Stress Test

10 Elsevier items and derived items © 2010 by Saunders, an imprint of Elsevier Inc. Contractal Stress Test (cont.)

11 Elsevier items and derived items © 2010 by Saunders, an imprint of Elsevier Inc. Contractal Stress Test (cont.)

12 Elsevier items and derived items © 2010 by Saunders, an imprint of Elsevier Inc. Contractal Stress Test (cont.)

13 Elsevier items and derived items © 2010 by Saunders, an imprint of Elsevier Inc. Biophysical Profile

14 Elsevier items and derived items © 2010 by Saunders, an imprint of Elsevier Inc. Intrapartum Monitoring  Fetal heart rate  Scalp blood gas  Cord blood gas  Fetal pulse oximetry

15 Elsevier items and derived items © 2010 by Saunders, an imprint of Elsevier Inc. High-Risk Conditions  Preterm birth  Earlier than 37 weeks  Comorbidity  Risk factors  Tocolysis  Maternal steroids

16 Elsevier items and derived items © 2010 by Saunders, an imprint of Elsevier Inc. High Risk Conditions (cont.)  Postterm delivery  Causes  Associated maternal and fetal conditions  Meconium aspiration  Placental insufficiency  Inducing labor