Maternity Case Study

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.

This week of maternity clinical rotation, I had a patient Mrs. M was 35-year-old G2P2. She gave birth to a boy by cesarean section at 41 weeks. Mrs. M had Rh+ and Blood group was O+. She was rubella immune, +PPD and had no known allergies. Her GBS, HBsAg, and RPR status were negative.

Often the time after birth is a filled with joy and happiness due to the arrival of a new baby. However, for some mothers the birth of a baby leads to some complicated feelings that are unexpected. Up to 85% of postpartum woman experience a mild depression called “baby blues” (Lowdermilk, Perry, Cashion, & Alden, 2012). Though baby blues is hard on these mothers, another form of depression, postpartum depression, can be even more debilitating to postpartum woman. Postpartum depression affects about 15% (Lowdermilk et al., 2012) of postpartum woman. This disorder is not only distressing to the mother but to the whole family unit. This is why it is important for the nurse to not only recognize the signs and symptoms of a mother with postpartum depression, but also hopefully provide preventative care for the benefit of everyone involved.

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.

I was the nursing student assigned to Ms. K.R, an 18 year old African American female who was admitted to Detroit Hutzel labor and delivery unit on October 31st 2015. Upon admission Ms. K.R was 39 weeks and six days pregnant, in the first phase of latent labor, dilated to 3 cm, 70% effaced, -3 station and her contractions were four minutes apart. She had a history of asthma, bipolar depression, anxiety, elevated blood pressure and adult BMI of >30. She is allergic to penicillin, nuts, kiwi and blueberries.

The Women’s Place at Texas’s Children’s Hospital, Pavilion for Women is dedicated to women’s reproductive health. Hormonal changes throughout pregnancy as well as post-pregnancy may affect the woman both emotional and physically. The Women’s Place serves as a program to treat the woman and her family at any point during the reproductive cycle. There are many disorders, issues, planning and management that The Women’s Place can assist with, including; Premenstrual dysphoric Disorder (PMDD), pre-pregnancy planning, infertility issues, fetal center and genetic counseling, prenatal care, psychiatric medication management, postpartum care, assistance during reproductive loss and grief and perimenopause and menopause. Although infection and

The late onset of postpartum depression is a most severe case that lead to impaired the maternal function and can be life- threatening. The symptoms begin to peak at 2 to 6 months after the delivery which involve feeling of sadness, depression, lack of energy, chronic fatigue, inability to sleep and difficult caring for the baby. Many of the mother’s will delay treatment or seek for some counseling because they are afraid that they will be judge as a bad mother for not being able to take care of the baby. “As many as 14.5% of postpartum women may experience a new episode within 3 months after delievery”( Conside). Is important to be aware of the symptoms to be able to identify them and provide treatment. In most cases the women may present with mild symptoms but 10 to 15 % will

Jeannie is a 25yo, G1 P0, who was seen for a follow-up assessment due to the identification of trisomy 18 based on noninvasive prenatal testing (NIPT). On today’s assessment, she overall has no complaints and believes that she has begun to feel some minimal fetal movement. She does have asthma but is stable with inhalers.

The patient is an 18 year old Spanish female who came to the unit on 11/31/2016 at 23:10 complaining of cramping and she had thought that her water had broken. Her pain was a 4 on a scale of 0-10 in her abdomen described as cramping. Upon examination she was dilated to 3cm, 80% effaced and the position of the baby was -2 and vertex. Her membranes remained intact. Her estimated due date was 10/28/2016. This is her first pregnancy. She has no history of abortion or miscarriage. She has had her flu vaccine and tdap vaccine in October, 2016. She has never smoked or done illegal drugs. She is negative for group b strep, hepatitis, HIV, and syphilis, gonorrhea, and chlamydia. She is rubella immune. There is a language barrier between the patient and the staff. The patient and her family only speak Spanish and only knew very little

Treatment is usually needed for reassurance and some help with household chores and care of the baby. About 20% of women diagnosed with postpartum blues will end up developing more lasting depression. Overall postpartum depression ends up affecting about 10-16% of women.

Cross sectional study design was adopted to accomplish the study objective. All the women who came for postnatal follow up to studied hospital from June to July 2012 formed the sampling frame. We decided to study at least 96 postnatal mothers based on minimum estimated PND prevalence of 10% with 6% precision, 95% confidence level [19]. All the women who came for follow up from 4th to 10th week of postnatal period from June to Nov 2012 were included. Women with acute severe illness or cognitive impairment or not willing to consent for voluntary participation were excluded. In a day maximum of two postnatal women, satisfying inclusion and

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

By dates, she is 24 5/7 weeks and the measurements are concordant. The amniotic fluid volume is normal. A repeat fetal anatomy was performed and further views of the face and diaphragm were seen. Again, due to fetal position and maternal body habitus the fetal heart was not cleared.

Lousie was an induction at 41weeks and three days, her birth was identical to her first resulting in a ventouse delivery after slow progression in her second