
Nausea/vomiting of pregnancy (including hyperemesis), gestational diabetes, hypertensive disorders (preeclampsia), anemia, infections, preterm labor, placental problems, reduced fetal movements, and intrahepatic cholestasis of pregnancy (itching, abnormal bile acids).
Severe abdominal pain, heavy vaginal bleeding or leaking fluid, severe headache with vision changes, swelling of face/hands, persistent vomiting with dehydration, fever, painful urination, or reduced fetal movements.
Close monitoring, medications, nutrition counseling, and coordination with maternal-fetal medicine specialists as needed; clear plans for birth timing and location.
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Hypertension & preeclampsia: warning signs include severe headache, visual changes, right-upper-quadrant pain, and swelling of the face/hands; monitoring includes blood pressure, labs, and baby’s growth/well-being.
Gestational diabetes: nutrition counseling and glucose monitoring are first-line; medications or insulin are used when needed. Most revert to normal after birth but need future diabetes screening.
Preterm labor: symptoms include regular painful contractions, pressure, or fluid leakage; evaluation includes fetal monitoring and cervical checks.
Cholestasis of pregnancy: intense itching (often palms/soles) prompts bile acid testing and tailored birth timing.
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