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Complications of Pregnancy

Pregnancy complications such as pre-eclampsia, haemorrhage, and anaemia threaten mother and baby. Nurses recognise and respond to these emergencies.

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Key Points to Know

What you must know about Pregnancy Complications

1

Pre-eclampsia: hypertension with proteinuria after 20 weeks; may progress to eclampsia (seizures).

2

Magnesium sulphate is the drug of choice to prevent and treat eclamptic seizures.

3

Antepartum haemorrhage includes placenta praevia and placental abruption.

4

In suspected placenta praevia, avoid vaginal (digital) examination — it can trigger severe bleeding.

5

Anaemia in pregnancy increases risk of complications and requires iron supplementation.

6

Ectopic pregnancy presents with abdominal pain and bleeding and is a surgical emergency.

NMCN Exam Tips

How this topic appears in the NMCN exam

Magnesium sulphate is the key drug for eclampsia — a favourite NMCN fact.

Never perform a vaginal exam in suspected placenta praevia.

Pre-eclampsia = hypertension + proteinuria after 20 weeks.

Monitor magnesium toxicity (loss of reflexes, respiratory depression).

Practice Question

Test yourself

The drug of choice for preventing and controlling seizures in a woman with severe pre-eclampsia/eclampsia is:

A.Diazepam
B.Magnesium sulphate✓ Correct
C.Calcium gluconate
D.Oxytocin

Explanation

Magnesium sulphate is the recognised drug of choice to prevent and control convulsions in pre-eclampsia and eclampsia. Calcium gluconate is kept available as the antidote for magnesium toxicity.

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