Pregnancy Complications

This course provides healthcare professionals with an in-depth understanding of four common pregnancy complications: miscarriage, obesity, gestational diabetes, and postnatal depression. Through practical insights and evidence-based approaches, Dr. Evangelia Francis guides participants in recognizing, assessing, and managing these complications to improve maternal and infant health outcomes.

Unit 1: Miscarriage
This unit delves into the clinical presentation and management of miscarriage, a common but distressing complication that affects 1 in 5 pregnancies. Dr. Francis explains the different types of miscarriage: threatened, complete, missed, and septic, and discusses assessment methods, including ultrasound and hormonal tracking. The unit also covers expectant, medical, and surgical management options, along with emotional support strategies, reducing the risk of clinical depression after miscarriage.

Unit 2: Obesity in Pregnancy
Focusing on the growing concern of obesity during pregnancy, this unit highlights the complications associated with pre-pregnancy obesity and excessive gestational weight gain. Participants will learn to identify the risks, such as gestational diabetes, preeclampsia, and obstructive sleep apnea, and manage these complications with a focus on weight gain targets, nutritional support, and lifestyle interventions. Dr. Francis also offers guidance on sensitive communication when discussing weight with pregnant patients.

Unit 3: Gestational Diabetes Mellitus (GDM)
This unit explores the diagnosis and management of gestational diabetes mellitus, a condition that affects up to 14% of pregnancies. Dr. Francis explains the risk factors, including advanced maternal age and obesity, and the potential complications for both mother and infant. The unit covers screening protocols, dietary recommendations, blood sugar monitoring, and pharmacological interventions, such as insulin and metformin, to achieve optimal glycemic control.

Unit 4: Postnatal Depression (PND)
In the final unit, Dr. Francis addresses postnatal depression, which affects up to one in six new mothers. This unit focuses on the importance of early screening using tools like the Edinburgh Postnatal Depression Scale. Participants will learn about the symptoms, risk factors, and management strategies for PND, including psychoeducation, non-directive counselling, and pharmacotherapy. The unit emphasises a holistic approach to maternal mental health, ensuring comprehensive support for new mothers during the perinatal period.

Together, these units provide a complete guide to managing pregnancy complications in clinical practice, equipping healthcare professionals with the tools to deliver effective, compassionate care.