Effects Of Pregnancy On Women And Babies

1805 Words Oct 6th, 2014 8 Pages
Subtle or acute changes in pregnancy can threaten the successful journey to motherhood resulting in devastating consequences for women and babies (Lunau, 2014). Pre-eclampsia is the focus of this essay, a high risk condition experienced by a woman under my care. Her medical treatment will be contrasted with evidence-based information found in the reviewed literature. Risk assessment definition will be critiqued along with impact of this term on pregnant women. I will reflect on the care I provided and strategies that can enhance more sensible care. A pseudonym will be used to de-identify the woman complying with the code of professional conduct for midwives (2008).

Maria was an 18 year old Aboriginal primigravida who at 36 weeks pregnant was evacuated from her remote community to Alice Springs maternity unit with severe late onset of pre-eclampsia.

Critics (Berzan, Doyle & Brown, 2014; Lunau, 2014) have argued that women who develop pre-eclampsia during pregnancy are at greater risk of developing cerebrovascular, cardiac and renal complications. Furthermore, they can also develop “pulmonary oedema, placental abruption, eclampsia and HELLP syndrome (hemolysis, elevated liver enzymes, and low platelet count”) which can be fatal (Berzan, et al., 2014, p. 473). Adverse fetal consequences involve intra uterus growth restriction, preterm birth, low apgar scores, seizure, neonatal intensive care admission and death (Lisonkova & Joseph, 2013; Berzan, et al., 2014;…
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