According to the Ohio Supreme court documents, the two EMTs responded to an ongoing labor in a residency. When the EMTs arrived the premature baby was breathing and had a pinkish color. The EMTs cut the umbilical cord, covered the baby in a towel, and performed oxygen blow-by. Fifteen to twenty minutes after the EMTs’ arrival the baby’s conditions deteriorated, breathing became shallower and the baby’s color was turning blue. The crew moved the baby to the ambulance with the purpose of initiating bagging, but decided to wait for advanced life support rather than transport the baby to the hospital. The EMTs felt uncomfortable leaving the mother as this could be considered abandoning one patient and was against protocol. They were also afraid
Burditts behalf. Although he had indicated that the transfer was to ensure that the unborn baby would have the availability of an “advanced neonatal unit” if required (Lewin, 1991, para 10). Had the infant required specialized care, he or she could have been flown in a helicopter to the nearest location with a neonatal unit. In addition, this act prevents hospitals from discharging, transferring, or refusing treatment to those women who are in active labor. Dr. Burditt stated that the patient was in active labor and continued to transfer the patient with her being high risk with her blood pressure.
It is our pleasure to see and provide FTS for Ms. Jennifer Mullins. She is a 19yo, G1 P0, with EDD by an 8-week 1-day ultrasound performed in your office giving an EDD of 12/25/17. Her past medical history is notable for morbid obesity with a prepregnancy BMI of 45. She takes prenatal vitamins, denies any surgical history, is normotensive with a normal urine dip here. This is her 1st pregnancy. Her social history is negative x3. Her family history is notable for breast cancer, HTN, diabetes in her maternal grandmother, and heart disease in her as well. She has having occasional nausea, vomiting, and heartburn and says that the Diclegis is not working at all and would like a different prescription.
This is a loophole to some people because doctors can say they need to remove the baby when the mother isn’t in danger or not in a stable condition.
First, I would tell Lisa and Dillon to watch for symptoms of blue color to the skin and shortness of breath. If she shows blue tinged skin and shortness of breath then you should put the baby’s knees up to her chest and lay the baby on her side. This helps increase blood flow to her lungs. Then you can call for paramedics. This is an emergency.
Due to the loss of muscle mass, protein adequacy is also a problem in older adults because it is not advised to increase protein intake. Limited protein intake may result in vitamin A, C, D, calcium, iron, zinc, and other deficiencies (Grodner, 2012). Overall, Theresa’s small nutrient intake can result in many nutrient deficiencies.
Thank you for the opportunity to participate in the care of Ms. Stansberry, who as you know is a 15yo female, G1 P0, currently at 26 weeks 0 days EGA with a pregnancy complicated by late establishment of PNC and maternal obesity.
A woman goes into labor and her husband wheels her into a hospital, to the labor and delivery unit. It is her first time having a baby and she is scared, and not completely sure what to expect. About seven hours later, the nurse and the doctor tell her that she is 6 centimeters dilated and not progressing in her labor, and that if she is ready, the nurses can give her Pitocin which intensifies labor and call the anesthesiologist to give her an epidural. Terrified and more than willing to listen to the medical professionals telling her what to do, she agrees to what they say. She successfully delivers, but not before her blood pressure rises and the baby’s heart rate drops, which is a side effect of the drug Pitocin. Because of the distress
The nurses in this small community hospital in no way upheld the Code of Ethics for nursing at this point of time in the care of the infant in this case. Primary responsibility and code is to give respect and good quality care to every patient. When the nurse turned off the monitor on this infant, they denied him the right to quality care. The nurse took away this infant’s worth by deciding to not treat him according to the orders and policies of the doctors and the hospital. Although the nurse could have turned the monitors off because it was disturbing one of her patients, and her job is to respect the primary interests of her patients. As an infant in the hospital at that time, he was a patient as well, even if not assigned to whichever particular nurse it was
During labour, her condition was worsening, the medical team contended whether to give T the blood transfusion which they found to be against the law.
In the 25th week of her pregnancy, the mother was advised by the nurse to remain on bed rest to avoid further complications and potentially hurting her unborn baby. The mother continued to work from the hospital placing additional stress on the baby despite the nurse’s appeal that such stress can cause the baby harm. Attempts to stop premature delivery were made but failed, the mother asked the medical team not to take any extraordinary measure to save the baby. The premature baby lived but the mother showed little interest in his health and wellness. The nurse tried to the best of her ability to spark
When the patient was dilated to a three, the doctor ruptured her amniotic sac and they contacted the anesthesiologist to get an epidural and catheter placed. As the day continued, the nurse kept increasing her Pitocin to help her progress. She was unable to eat or drink and was only able to chew on ice chips. She had monitors on her abdomen to allow the nurse to watch her contractions and baby’s heart rate. The patient also had to get blood pressures taken every fifteen minutes since she had preeclampsia. The hospital’s priority was to monitor the baby and mother closely to make sure the mother and the baby remained healthy. Another priority of the agency was to get the baby out in a timely manner. The agency I was at used prostaglandins and oxytocin to assist with this process, which helped to augment and induce contractions to progress labor. The other patient I encountered was also being induced, and she was at 39 weeks. After three doses of Cytotec with no change, the nurse continued to give it, even though the patient’s body was not ready to
Elodie Depuy gave birth seven months ago. She decided not to let the nurses give her baby a baby. The nurses wiped
The second section focused on the act of labor and delivery, including first three hours of infant birth, followed by postpartum care and breastfeeding. The speaker spoke about the current practices that occur within the hospital's labor and delivery department. When speaking about delayed cord clamping, she discussed why this is important and even mentioned the volume of blood an infant lacks when the umbilical cord is clammed or cut too soon after birth. While discussing breastfeeding, she briefly mentioned infant blood glucose screenings, and the evidence that is published regarding encouraging breastfeeding within the first hour of
I was working night shift in a level 3 Neonatal Intensive Care Unit facility and my 10 days orientation was over. It was my first day working without my preceptor. Since I was a new staff, the charge nurse allocated two stable babies for me. One was Baby Zahra, a 33 weeks preemie, on room air, with nasogastric tube, with peripheral intravenous line to keep the vein open and feeding with expressed breast milk every 3 hours. I started my shift with a bit of nervousness knowing that I am on my own and wondering if I can remember everything that my preceptor had taught me during our orientation. I started my assessment and observed Baby Zahra to be pale, her skin was slightly mottled. I checked her vital signs. The cardiac monitor showed that she
Throughout the years, our brain shape has changed in result of the nutrition received. The amount of nutrition received is the biggest factor with regard to the change in brain size. Therefore, the sufficient nutrition increased the size of the brain. In result, the increased brain size created advanced cognitive functions.