Post Partum Admission Essay

Compared to the general adult population the maternal airway management can be more challenging as changes during pregnancy can increase the difficulty of intubation (Brien and Conlon, 2013). Its makes hard to insert laryngoscope when the patient have a large breast, the chance of bleeding and swelling increases due to oedema and vascularity of the upper respiratory tract, and the patient desaturate quicker as there is increase in oxygen requirements and there is reduced in functional residual capacity (Mushambi et al, 2015). As a result of all the changes during pregnancy, if the problems encountered during the intubation of Mrs D were to happen to an obstetric patient, it is important to provide optimal surgical condition for to progress rapidly while aiming for a good neonatal outcome (Local theatre policy, 2015b). In obstetric patients, much of the issue is about the urgency with which the foetus must be delivered and the surgical operation must be done as quickly as possible - therefore making decisions in the event of certain clinical situations occurring will require a much quicker decision making process because there is an immediate threat to the life of the woman or foetus (Mushambi et al, 2015). This is why emergency obstetric anaesthesia is such a potentially hazardous

et al., 2008). Sepsis is a frequent cause of admission to intensive care units (ICUs) and it

The project was conducted at a 408-bed Magnet-designated community hospital in a suburb of New York City. In 2009, this hospital had 1,547 births with an overall cesarean birth rate of 42 percent. Of the total cesarean births, approximately 50% were repeat, elective (nonemergency) cesarean birth. A total of 320 mothers constituted the potential study population for this quality improvement project. The inclusion criteria used to obtain the sample consisted of English-speaking women ages 18 years or older who were having a repeat, elective (nonemergency) cesarean birth. Women whose newborns required admission to the NICU or a transfer out of the hospital were excluded from the study. The total study sample consisted of six mothers between the ages of 27 and 40 years.

Global coding for obstetrics is basically for the services and supplies needed for the antepartum, delivery, and postpartum period of a normal pregnancy. The antepartum period of pregnancy is the time of pregnancy from conception to the onset of delivery. The initial and subsequent history, all physical examinations, recording of blood pressure, weight, fetal heart tones, routine urinalysis, and monthly visits up to twenty-eight weeks gestation are included in antepartum care. After twenty-eight weeks, biweekly visits up to thirty-six weeks gestation, and weekly visits until delivery are also included in antepartum care. Delivery services included the hospital admission with history and physical, the management of uncomplicated labor, and the vaginal or cesarean delivery. Episiotomy and the use of forceps are also included for antepartum care. For postpartum care, normal, uncomplicated hospital and office visits for six weeks after either vaginal or cesarean section delivery are included.

As nurses we vow to encourage, teach, and support our patients throughout the lifespan. Precipitous labor is a topic that not only

If someone asked me where I am going to be in ten years, this would be my answer. I will have a great, high-paying job, and beautiful wife and family, and a nice sports car parked in front of my lovely house. When I look into the future, I see myself being successful and happy. Even though I always pictured myself this way, I never worried too much about how I would get there. I feel the Suffolk University can lay the groundwork for making these dreams into reality.

This paper analyzes a labor patient who was scheduled for an induction. Patient Y presented to the maternity unit and was not in active labor. Once in a labor room, Patient Y was connected to electronic fetal monitoring and her induction process was to begin shortly. Her entire birth plan changed rapidly when she was rushed to the operating room for an emergency cesarean section due to non-reassuring fetal heart tones. All aspects of care provided to the patient and her newborn will be explained and analyzed throughout this paper. Upon completion of reading this paper, the reader should have an understanding of the nursing diagnoses, interventions and there effectiveness, and the education the nurse provided to the patient prior to discharge.

Obstetric haemorrhage, or heavy bleeding during pregnancy, can take place either before or after delivery.(1)The most common obstetric difficulty is postpartum haemorrhage, commonly characterised by blood loss of 500ml or more within 24 hours after delivery.(2)With postpartum haemorrhage affecting almost 2% of all woman who give birth(2), minimising the risks in paramedic practice is imperative. Ways to minimise the risk of postpartum haemorrhage in paramedic practice began by focusing only on psychological management of the third stage of labour although now, due to higher educational programs, paramedics are introduced to active management of the third stage. This includes administering drugs such as oxytocin, ergometrine and misoprostol,

The study by Cheng, Shaffer, Bianco and Caughey (2011) compared the perinatal results among nulliparous women with early operative vaginal delivery in second stage and the ones with normal vaginal delivery having delayed second stage. The researchers compared women with operative vaginal deliveries in their second stage with those that spontaneously delivered vaginally. Chi-square test was used to examine the perinatal results. Multivariable logistic regression analysis was used to control possible cofounders. The results suggested that there were reduced odds for third and fourth degree perineal lacerations among women with vaginal delivery further than 3 hours, admissions in special care nursery and neonatal cephalohematoma in comparison with operative vaginal deliveries, which took place between 1 and 3 hours (Cheng, Shaffer, Bianco and Caughey, 2011).

As a public health nurse, I am seeking a Doctoral Degree in Nursing to expand my clinical knowledge and to apply this knowledge into clinical practice. In addition, I want to address the need for nurse leaders. Currently, the nursing profession needs advanced practitioners that will influence the field of nursing by contributing evidence-based research into clinical practice. By continuing my education, I will become a more respected leader among the community and the medical field. I look forward to making an impact in the field of nursing.

Increased patient education can also impact and aid in minimizing the risk of cesarean births. Potential reasons for cesarean delivery per maternal request include fear of the pain associated with

The reason for the high mortality in the pre anaesthetic era was that caesarean sections were usually performed after prolonged labour in women who were dehydrated and infected , in addition , after removal of the foetus the uterus was not sutured , adding haemorrhage to the morbidity equation. By controlling the haemorrhage and sepsis Porro dramatically reduced the maternal mortality by half from its usual rate of 80-90%(Baskett and Calder

“Eclampsia is a condition that causes a pregnant woman, usually previously diagnosed with preeclampsia (high blood pressure and protein in the urine), to develop seizures or coma.” (Eclampsia Early Signs & Symptoms, Postpartum, and Treatments). When Eclampsia begins to occur this leads to preterm labor. After 37 weeks, it’s okay for a mother to have her newborn baby. However, preterm labor drags on the labor process. This begins to make the whole process difficult and more dangerous. The infant could potentially be developing lung and breathing problems. “Preterm birth is the most common cause of infant death and is the leading cause of long-term disability related to the nervous system in children.” (Preterm Labor and Birth: Overview). The nervous system controls your brain. This system is able to tell you when to move, when to blink, when to touch and a lot more different things. The fetal nervous system is one of the first system that is developed, that’s why it is so important that these health problems are aware of as soon as possible. Infant mortality is also very common in Eclampsia. “Infant mortality refers to deaths of young children, typically those less than one year of age. It is measured by the infant mortality rate (IMR), which is the number of deaths of children under one year of age per 1000 live births.” (Infant

The original thought was that CP was a result of birth trauma and the physician’s competence was a large factor in the incidence of CP. It appears that only 6% of CP cases are due from intrapartum events but most of these seemed to originate their etiology from prenatal or postnatal factors (5). This conclusion comes from the fact that CP children had similar Apgar scores except for acidosis of the veins in approximately 18% of the CP children compared to 0 in normal children (5). This may be due to a lack of equipment to actually diagnose the acidosis, especially in cerebral acidosis. Also, C-sections do not protect against CP and are not advised unless they are normally applicable (5). Another study found

This woman was invited to the maternity assessment unit due to spontaneous rupture of membranes. This is her first birth in this country as her other 3 children were born in India- All normal vaginal deliveries. Although, her antenatal period had been low risk, she had not had a recent enough full blood count (FBC) taken, which would put her at risk of having a low Hb level and due to her parity – she could also be at risk of a postpartum hemorrhage (Royal college of obstetricians & gynaecologists, 2009). Therefore, the decision was made to put her on delivery suite rather than in the low risk birth centre.