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Ask her!
Enlarged uterus?
Pregnancy test?
What are the changes / risks?
Uterus: Intrapelvic
and thick-walled
Fetus protected
from direct injury
Risks
Abortion
Isoimmunization
What are the changes / risks?
Uterus: Extrapelvic
Large volume of
amniotic fluid
Risks
Abruptio placenta
Amniotic fluid embolism
Isoimmunization
What are the changes?
Risks
Pelvic fractures with
maternal hemorrhage
and direct fetal injury
Abruptio placenta
Amniotic fluid embolism
Isoimmunization
What are the changes / risks?
Aspiration risk
Mothers
Hyperventilation
blood loss
Hypervolemia with first reflected
anemia in fetal
distress
Eclampsia
How do I manage 2 patients?