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Other maternal conditions 

Other maternal conditions
Chapter:
Other maternal conditions
Author(s):

Harini Narayan

DOI:
10.1093/med/9780199673643.003.0024
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date: 26 November 2020

This chapter addresses a wide range of conditions that have a high potential for adverse pregnancy outcomes, including unbooked pregnancies or poor attenders, teenage pregnancies, smoking, alcohol/substance abuse, use of certain antidepressants, refusal of blood/blood products, and domestic violence. The specific risks involved with each of these high-risk pregnancies are discussed as is the necessary multidisciplinary and multiagency targeted care. Women who have chosen not to access antenatal care suffer increased maternal and fetal complications, including mortality. Teenage pregnancies represent a complex challenge. Multidisciplinary antenatal planning for intrapartum emergencies are discussed for pregnant women who refuse blood/blood products. The chapter also addresses smoking, substance/alcohol abuse and the magnitude of domestic violence during pregnancy. Other maternal diseases including ophthalmic conditions such as retinopathy, uveitis, visual field deterioration, occlusive vascular lesions as well as periodontal disease that could have an impact on pregnancy are described. The necessary cross-speciality pregnancy care is highlighted.

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