Signs - Warning Signs of Pregnancy Trimester III

SIGNS - DANGER SIGNS OF PREGNANCY TRIMESTER III

DEFINITIONS

Pregnancy Trimester III is 29-42 weeks gestational age or 7-10 bulan.Deteksi early symptoms and signs of danger during pregnancy is the best effort to prevent serious disruption of the pregnancy or the safety of the mother hamil.Apabila danger signs are not reported or undetected can lead to maternal death (Asrinah, 2010).

Danger signs are circumstances in pregnant women were threatening the mother and fetus during pregnancy. Danger signs in pregnancy can occur anytime. Maybe when the pregnancy was young, probably too late in pregnancy. Not infrequently the moments before delivery. Danger signs in pregnancy need to be cautious so that the expectant mother and her unborn child healthy and safe.

DANGER SIGNS IN PREGNANCY TRIMESTER III

1. Vaginal bleeding

Each bleeding out of the hole intercourse in pregnant women after 28 weeks is called antepartum hemorrhage. Antepartum bleeding should receive full attention, because it is a sign of life-threatening danger or a mother and her fetus. Bleeding can be out a little but continuously, for long the mother suffers from severe anemia. Bleeding can also come out at the same time many of which lead to maternal shock, weak / small pulse and blood pressure decreases.

Vaginal bleeding in pregnancy that includes criteria danger sign is bleeding a lot, red, and sometimes but not always accompanied by pain. Assessment is probably absruptio placenta previa or placenta.

Antepartum haemorrhage can be derived from placental abnormalities placenta previa and placental abruption. Placenta previa is a condition in which the placenta implants in temmpat abnormal, ie at the lower uterine segment that partially or completely cover the surface of the birth canal. Placental abruption is a condition where the placenta is normally located apart from its attachments before the fetus is born.

2. Headache great

Headaches are common during pregnancy and often the discomfort is normal during pregnancy. These headaches can occur when a mother less rest, tired, or menderitan high blood pressure. Headaches that indicates a serious problem is the persistent severe headache and do not disappear with rest. Sometimes with severe headaches that mothers may find that this vision becomes blurry, or ghosting. Assessment which is probably the symptom preeklampsi

3. blurred vision

Due to hormonal influences, mother's eyesight can change in pregnancy. Light change is normal. Visual problems that indicate a life-threatening situation the mother is sudden visual changes, such as blurring or ghosting. The visual changes may be accompanied by severe headaches. Assessment is probably a symptom of preeclampsia.

In preeclampsia visible swelling of the retina, local narrowing or complete apda one or more arteries, rarely seen bleeding or exudates. Retinopalatia arterioskerotika show that chronic vascular disease. The situation is not shown in pre eclampsia except in the event on the basis of chronic hypertension or kidney disease. Real retinal artery spasm showed mild preeclampsia however vasospasmus not always menunnjukkan mild pre-eclampsia.

In preeclampsia rare retinal detachment. This situation is accompanied by blind suddenly. Retinal detachment caused by intraocular edema and an indication for termination of pregnancy immediately. Usually after childbirth ends, attached to the retina back in 2 days to 2 months. Impaired vision is still rare.

4. Swelling in the face and fingers

Edema (swelling) is the accumulation of excessive fluid in general and in the tissues of the body, and can usually be identified and of weight gain and swelling of the feet, the hands and face.

Bangkak could indicate a serious problem if it appears on the face and hands, does not disappear after rest, and is accompanied by other physical complaints. Asessmen which probably is a symptom of anemia, heart failure, or preeclampsia.

5. Exit vaginal fluid

Rupture of the fetal membranes in pregnancy is a sign of danger because it can cause infection directly on the fetus. Rupture of membranes can also be followed by the release of a fetus as part kacil cord, hand, or foot. Therefore, if during pregnancy found no discharge especially when not enough months should immediately come to the hospital with adequate facilities. Assessment is probably premature rupture of membranes (PROM).

The diagnosis of premature rupture of membranes based on historical loss of vaginal fluid and ensuring their amniotic fluid in the vagina. If premature rupture of membranes otherwise occur before the delivery takes. Premature rupture of an important issue in obstetric complications associated with preterm birth and infection khorioamnionitis to sepsis, which increases perinatal morbidity and mortality, and of cause of infection in the mother.

Premature rupture caused by the lack of strength of the membrane or increasing intrauterine pressure or because of both factors. Membrane strength reduction caused by an infection that can originate from the vagina and cervix.

Sterile vaginal speculum examination should be performed to confirm the diagnosis, to assess cervical dilation and length, and if the patient is less a month, to obtain cultures of cervical and amniotic fluid samples to test lung maturity. Besides ensuring the KPD diagnosis can be made by

a. Test the liquid with litmus paper (nitrazine) which will turn blue when there are alkaline amniotic fluid.

b. Viewed under a microscope by placing a sample material on a glass slide and then dried in air and examined under a microscope to find whether there is a picture such as ferns.

Handling of premature rupture of membranes requires consideration of gestation, an infection of the maternal and fetal complications, and the signs of labor.

6. The movement of the fetus does not feel

Mom began to feel the movement of the fetus during the 5th or 6th, some women can feel fetal movement early. If fetal movement sleep will weaken. The fetus must be moved at least three times within a period of 3 hours, the fetal movements felt it would be easier if the mother lying down or resting, and if the mother is eating and drinking well. Which includes an alarm is when fetal movement began to wane even none at all. Assessment is probably the death of the fetus in the womb.

Fetal death in utero (IUFD) is a fetal death after 20 weeks of pregnancy but before the onset of labor. This leads to complications in about 1% of pregnancies. Berakitan causes include complications of placenta and umbilical cord, hypertension, medical complications, congenital anomalies, infections in the womb and others.

The death of the fetus should be suspected if a woman complains not felt fetal movement, the stomach was smaller, and smaller breasts. Addition of DJJ examination results do not sound while still positive pregnancy test because the placenta can continue to produce hCG.

Dangers that can occur in women with fetal death in utero fetal death is taking too long to cause disruption in the mother. The danger that occurs in the form of a blood clotting disorder, is caused by substances that come from dead tissue that enters the mother's blood.

Approximately 80% of patients will experience spontaneous onset of labor in 2 to 3 weeks of fetal death. However, if women fail to spontaneously akian labor induction of labor.

7. Pain in the abdomen

Pain in the abdomen including the danger signs in pregnancy. If the mother is very painful stomach suddenly even if just a little touch and feels very hard as a board and accompanied by vaginal bleeding. This indicates the occurrence of placental abruption.

Severe abdominal pain which normally occurs in late pregnancy as a result of the contraction of the womb which will remove the contents in the womb or infant. So it must be distinguished whether the abdominal pain is caused because the mother giving birth or placental abruption occurred.