Patient's Preoperative Hemoglobin Case Study

Vacuum assisted deliveries are a method to help facilitate a vaginal birth even if the mother is becoming to exhausted to push or if the baby has reached a difficult position during labor and is prevented from progressing. While the vacuum may be helpful for the labor it runs the risk of causing a subgaleal hemorrhage (SHG) in newborns this condition is a result of the connection between the sinuses of the scalp and the veins of the brain have been ruptured which causes bleeding and swelling of the head and can lead to severe hypovolemia and death (Davis, 2001). SGH occurrences after vacuum delivery are in the range of 26 to 45 per 1000 vaginal deliveries (Modanlou, 2010). In order to treat and correct SGH nurses are

The writer explained there could be no concern for fetal or maternal health during the delivery although some obstetricians tended to induce labor in all diabetic mothers to protect babies and mothers. Moreover, labor progress was supposedly assessed by old-fashioned methods, which resulted in performing unnecessary obstetrical practices. Intervention was imposed in cases of inaccurately labeled slow or abnormal labors and failures to progress. It is common practice that a primary cesarean generally produces subsequent surgical deliveries. The author realized that cesareans were performed because of insufficient data on laboring women’s

Over the years birthing methods have changed a great deal. When technology wasn’t so advanced there was only one method of giving birth, vaginally non-medicated. However, in today’s society there are now more than one method of giving birth. In fact, there are three methods: Non-medicated vaginal delivery, medicated vaginal delivery and cesarean delivery, also known as c-section. In the cesarean delivery there is not much to prepare for before the operation, except maybe the procedure of the operation. A few things that will be discussed are: the process of cesarean delivery, reasons for this birthing method and a few reasons for why this birthing method is used. Also a question that many women have is whether or not they can vaginally

“Sefa’s had what we call a grade two placental abruption, which means the placenta has become slightly detached from the uterine wall. Sefa and the baby are fine for the moment, but since the baby’s already full-term, I don’t want to take any chances. Sefa’s agreed to a C-section, which I feel is the best and safest course of action. But it needs to happen immediately.”

Many woman give up in labor and beg the doctor to perform a cesarean section or many times the doctor does not want to wait for the laboring patient to progress on their terms and will call for a cesarean section. A cesarean section is a major abdominal surgery. Many woman are not educated in the short and long term effects of having one to be able to stay as far away from them. Maternal complications can be both physical and emotional due to the fact that the woman will not be able to care for her infant exclusively on her own during the recovery period. The first and most common complication with a cesarean section is surgical site infections. This could be caused by many things. It could be a cause of not cleaning the skin properly, a break in sterile technique, or personal hygiene of the wound during the recovery period. It can also be caused by the way the incision is closed. “ The use of staples for skin closure was associated with a marginally statistically significant increase in surgical site infections” (Corcoran 2013, pg. 1262). Infections can also be seen as urinary tract infections, endometritis, and pneumonia. Another complication that can occur from a cesarean section is a thrombus which can lead to pulmonary embolism. When a person has a cesarean section, they are bed bond more than a vaginal delivery. This causes the blood to not circulate in their legs

This particular case study involves a 29 year old obstetric patient who presented to the labor and delivery unit at 33 weeks gestation with complaints of abdominal pain for the past three days that had become more severe and absence of fetal movement noted since the previous evening. Her obstetric history revealed she has one living child and has had one previous miscarriage at ten weeks

A commonly known procedure when it comes to hospital births are epidurals. An epidural is an injection of a drug between the “epidural space” which causes

On ultrasound there is a live fetus in breech presentation. Fetal biometry is consistent with menstrual dates. A detailed anatomic survey was unremarkable but slightly suboptimal

Two wide bore cannula, were inserted and a full set of bloods was taken including blood cultures. 15 litres O2 via a rebreather mask was applied. Intravenous fluids were commenced and rapidly infused. An ECG was done by the intern. She was checked and rechecked for any signs of bleeding and an internal examine was done by the consultant to check for any retained products. Intravenous antibiotics were also started and given. All drugs such as anaesthetic drugs or analgesia that Susan had been given that day were also checked to see if it had been an adverse reaction. Over the next 40 minutes she began to improve and was transferred to the labour ward for closer observation.

In the case of the CNM who delivered a 35 week breeched infant, several factors need

Investigating haemoglobin (Hb) concentration in blood samples using the haemoglobincyanide method and in foetal haemoglobin samples

Vaginal birth after caesarean (VBAC) is the name used for identifying the method of giving birth vaginally after previously delivering at least one baby through a caesarean section (CS). A trial of labour (TOL) is the term used to describe the process of attempting a VBAC. An elected repeat caesarean (ERC) is the other option for women who have had a caesarean in the past. The rates of women choosing to deliver by means of an ERC has been increasing in many countries, this is typically due to the common assumption that there are too many risks for the baby and mother (Knight, Gurol-Urganci, Van Der Meulen, Mahmood, Richmond, Dougall, & Cromwell, 2013). The success rate of VBAC lies in the range of 56 - 80%, a reasonably high success rate, however, the repeat caesarean birth rate has increased to 83% in Australia (Knight et al., 2013). It is essential to inform women of the contraindications, success criteria, risks, benefits, information on uterine rupture and the role of the midwife in relation to considering attempting a VBAC (Hayman, 2014). This information forms the basis of an antenatal class (Appendix 1) that provides the necessary information to women who are considering attempting a VBAC and can therefore enable them to make their own decision regarding the mode of birth.

Pregnancy is normally the best and the happiest stage of any woman, but it can also be uncertain because anything can go wrong if you do not know exactly what to do. In order to understand the reasons of why Preterm Birth occurs, it is important to know what it is and how risky it can be. Preterm Birth is also known as Premature labor which mainly begins after “20 weeks but before 37 completed week’s gestations. Approximately 12.9 million babies worldwide are born too early every year representing an incidence of PTB of 9.6%” (Berghella, pp. 2, 8). Baby Center Medical Advisory Board says that about 12 percent of babies

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.

A first time pregnant woman in labor who has limited medical knowledge about episiotomy may become frighten when all of a sudden as she is actively pushing, the provider tells her stop because the passageway to let the baby out is narrow, therefore he/she is going to perform a procedure which involves an incision made to the vagina that will assist the birthing process, therefore allowing the baby to be delivered easily and preventing further complications. This might be really frightening to the patient due to her limited knowledge and prior misconceptions about the procedure.