Obstetric and Gynecological Nursing - The Carter Center

Mothers who have passed the 37 th week of pregnancy will
have an amniotomy to induce labour. Further bleeding or
evidence of fetal distress may indicate that a caesarean
section is necessary.
Moderate separation of the placenta up to 1000ml of blood
may be lost and in severe separation of the placenta about
2000ml of blood or more are lost from the circulation.
Complications
- Coagulations defects
- Renal failure and pituitary failure.
- Postpartum haemorrhage
- Intera uterine fetal death
6.5 Polyhydramnios
Polyhydramnious is defined as being a quantity of amniotic
fluid which exceeds 1500ml. It may not be clinically apparent
until it reaches 3000ml. It occurs in 1 in 250 pregnancies.
Causes
- Oesophageal atresia of the fetus
- Open neural tube defect of the fetus
- Multiple pregnancy, especially in the monozygotic twins
- Maternal diabetic mellitus
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