Pregnancy Complications in First, Second and Third Trimesters
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Pregnancy Complications in First, Second and Third Trimesters

This article discusses different complications during pregnancy. It includes different health problem conditions that might be experienced in the different trimesters. It also focuses as into some factors why we experience this problems including the signs and symptoms of it. It tries to enlighten as about the importance of prenatal check ups and making sure that you are physically fit while pregnant.

In pregnancy, different complications may occur, but it is dependent on many factors. Some of these factors include pregnancy at a young age, advanced maternal age or pregnancy at above 35 years old, low socioeconomic status, consumption of alcoholic beverages and illegal drugs, cigarette smoking, body weight, poor diet and poor nutrition, presence of other chronic illnesses such as diabetes mellitus or primary hypertension, or genetic factors. Pregnant mothers should seek medical advice as soon as possible if they find symptoms of the following:

First Trimester:

  1.  Abortion – is the most common bleeding disorder of early pregnancy. It is when the fetus is expelled before it is viable or before 20 weeks in utero. It can be caused by fetal abnormalities or maternal factors. Abortion can be threatened, imminent, incomplete, complete, missed, habitual, or septic.Symptoms include: vaginal bleeding, abdominal cramping, and clot-like material may pass from the vagina.
  2. Ectopic Pregnancy- Is a pregnancy that develops outside the uterus, usually in the fallopian tubes. The embryo may implant in the cervix, ovary, fimbria, ampulla, or isthmus. It is the second leading cause of bleeding in the early weeks of pregnancy. Symptoms include: Shoulder pain, sharp pain on the abdomen, vaginal bleeding.

Second Trimester:

  1. Hyatidiform Mole – is a benign disorder characterized by degeneration of the chorion and death of the embryo, which will lead to the formation of grape-like vesicles that produce large amounts of human-gonadotropin hormone or HCG. It is usually treated by hysterectomy to reduce further complications such as cancer. Symptoms include: excessive growth of abdomen in relation to age of gestation, excessive nausea and vomiting or hyperemesis gravidarum, vaginal bleeding, and symptoms of hyperthyroidism and preeclampsia like high blood pressure and swelling of the feet, ankles and legs.

Third Trimester:

  1.  Placenta Previa – it is the abnormal low implantation of the placenta. It occurs when the placenta is improperly implanted in the lower uterine segment, sometimes covering the cervical os. Causes are history of previous abortion or Dilation and Curettage which causes uterine scarring, Caesarean section might be indicated when the placenta totally occludes the cervical os, blocking the passageway of the baby to the vagina.  Symptoms include: painless bright red scant vaginal spotting that can turn into profuse vaginal bleeding.
  2. Abruptio Placenta – is the premature separation of the placenta form the implantation site. It usually occurs after the twentieth week of pregnancy. It may cause heavy bleeding which may be internal or external, depending of which type of abruptio placenta.  Symptoms include: abdominal pain, tachycardia, hypotension, fetal distress, and board-like abdomen.

          Pregnant mothers must go for prenatal checkup at least once in the first and second trimesters to detect and diagnose such complications. Mothers must also watch their diet and lifestyle during pregnancy. An ounce of prevention is worth a pound of cure

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Comments (3)

Very well written - some of these I had not heard of

Ranked #16 in Pregnancy Health

Very informative compliations on pregnancy.

Thanks for the recommendations.