General Consideration Diabetes mellitus complicating pregnancy Diabetes mellitus is diagnosed before this pregnancy Gestational diabetes mellitus (GDM) Carbohydrate intolerance of varying degree of severity with onset or first recognition during pregnancy
1. Different periods of Female Neonatal period:≤4 weeks childhood: 4 weeks to age of 12 adolescence: menarche age of 12-17 sexual maturity: begain 18. maintains for 30 years Operi-menopausal period: begain 40, maintains for 10-20 years pre-menopause, menopause (last time of menorrhae post-menopause
General Consideration Definition The separation of the placenta from its site of implantation after 20 weeks of gestation or during the course of delivery Frequency 0.51%0-2.33%(our country) 1%o(other countries) Incidence of fetal death
General Consideration Antenatal cardiovascular changes Blood volume increase by 40%-60%0 Peaking at 32-34 weeks the expansion in plasma volume is greater than that expansion of red cell mass Cardiac output Increase by 40%6-50% Peaking at 20-24 weeks