Pregnancy is a process where hormonal and physical changes are experienced. In this process, both the natural effects of the pregnancy period and pregnancy complications occur.
Severe Vomiting in Pregnancy
Nausea and vomiting during pregnancy are completely normal symptoms. If vomiting and nausea caused by hormonal changes are excessive and the expectant mother is experiencing weight loss, she should inform her doctor directly.
In such cases, problems are brought under control with treatment. Measures that can be taken for morning sickness are:
The situation can be controlled with change in eating habits,
If the vomiting becomes very severe, the person may need to be hospitalized.
It occurs when it is not possible to produce insulin at an appropriate rate for increased blood sugar level during pregnancy. If the expectant mother has diabetes before pregnancy, the process should be brought under control by taking appropriate measures during pregnancy.
However, in some cases, gestational diabetes occurs during pregnancy. When gestational diabetes is kept under control, the pregnancy process will be completed in a healthy way without facing any problem. Urine test and glucose tolerance test can be performed to detect gestational diabetes.
These tests are done in every pregnancy. Diagnostic test of gestational diabetes, whose real scientific name is “Glucose Tolerance Test”, which is known by mistake in Turkish as sugar loading test, does not harm the mother or the fetus during pregnancy.
High Blood Pressure in Pregnancy
This disease, which is also known as preeclampsia, is more common in first pregnancies, advanced maternal age, multiple pregnancies and obese pregnancies.
The normal cardiovascular result of pregnancy is a slight drop in blood pressure. It is not normal for blood pressure to be at or above 140/90 mmHg during pregnancy and it should be evaluated in detail rapidly.
It is the second most common cause of premature births in pregnancy. It is a complication that is likely to harm the mother or the fetus. It is important to evaluate and manage this complication, whose diagnosis, follow-up, treatment and timing of delivery should be completely individualized according to the patient, by a perinatologist.
The definition of miscarriage during pregnancy means that the heartbeat of the fetus suddenly stops or the pregnancy materials are expelled from the uterus with bleeding and pain. If the termination of pregnancy occurs before 20 weeks of pregnancy, it is called as miscarriage, if it occurs after 20th week of pregnancy, it is called as premature birth.
Miscarriage may occur when there is no problem in various situations. Especially in the bleeding during pregnancy, it is useful to contact your doctor without wasting time and by staying calm.
Low Amniotic Fluid
Amniotic sac; is a sac of fluid where the baby lives in the womb and protects the baby. If the amniotic fluid is less than required, first, the cause should be investigated in detail and then a special follow-up should be applied. In such cases, premature birth may occur.
Placenta Previa (The down settlement of the placenta to obstruct the cervix exit)
It is a complication that occurs when the placenta attaches to the lower part of the uterine wall and covers the cervix partially or completely. It usually occurs after the second trimester of pregnancy.
In this case, severe vaginal bleeding may occur. It is possible to be treated. This requires a detailed examination and appropriate follow-up. In this case, normal birth is not possible and the caesarean delivery should be performed by an experienced operator in this field.
As a general definition, placenta accreta is a situation where the placenta adheres too much to the uterine wall and causes severe bleeding due to the fact that it does not separate during delivery.
In case of clinical suspicion, first, both the fetus and the placenta should be evaluated in detail with detailed fetal ultrasonography. After the pregnancy risk is determined, a follow-up and an operation appropriate to its risk should be planned.
The operation must be performed in a tertiary center, which has adequate blood and blood product support, by an experienced operator and her team. The severity and frequency of this disease increases in direct proportion to the number of cesarean sections, especially in pregnancies who gave birth by cesarean in their previous pregnancy.