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The rate is higher for multiple pregnancies (32.4% compared with 10.6% for singletons), and for first-time mothers (12.9% compared with 10.0% for women in subsequent pregnancies). [56] The overall rate of severe PPH (>1000 ml) was much lower at an overall rate of 2.8%, again with the highest rate in Africa (5.1%).
The first recorded epidemic of puerperal fever occurred at the Hôtel-Dieu de Paris in 1646. Hospitals throughout Europe and America consistently reported death rates between 20% and 25% of all women giving birth, punctuated by intermittent epidemics with up to 100% fatalities of women giving birth in childbirth wards. [28]
Severe pre-eclampsia involves a BP over 160/110 (with additional signs). It affects 5–8% of pregnancies. [20] Eclampsia – seizures in a pre-eclamptic patient, affect around 1.4% of pregnancies. [21] Gestational hypertension can develop after 20 weeks but has no other symptoms, and later rights itself, but it can develop into pre-eclampsia. [22]
Although described as "morning sickness," pregnant women can experience this nausea any time of day or night. The exact cause of morning sickness remains unknown. Nausea and vomiting in pregnancy is typically mild and self-limited, resolving on its own by the 14th week of pregnancy. Other causes should also be ruled out when considering treatment.
Pain management during childbirth is the partial treatment and a way of reducing any pain that a woman may experience during labor and delivery.The amount of pain a woman feels during labor depends partly on the size and position of her baby, the size of her pelvis, her emotions, the strength of the contractions, and her outlook. [1]
Prolonged labor is the inability of a woman to proceed with childbirth upon going into labor. [1] Prolonged labor typically lasts over 20 hours for first time mothers, and over 14 hours for women that have already had children. [1] Failure to progress can take place during two different phases; the latent phase and active phase of labor. [1]
Pre-labor consists of the early signs before labor starts. It is the body's preparation for real labor. Prodromal labor has been misnamed as “false labor." Prodromal labor begins much as traditional labor but does not progress to the birth of the baby. Not everyone feels this stage of labor, though it does always occur.
Obstructed labor is more common in humans than any other species and continues to be a main cause of birth complications today. [12] Modern humans have morphologically evolved to survive as bipeds, however, bipedalism has resulted in skeletal changes that have consequently narrowed the pelvis and the birth canal. [ 13 ]