Obstetrics Essays

During the care of the obstetric (OB) patient throughout labor, delivery, and postpartum, obstetric departments work to provide safe outcomes for mothers and infants. To do so, nurses must be prepared to act upon any adverse event associated with increased maternal or neonatal morbidity or mortality. However, staff are challenged to implement evidence-based practice when these events occur so infrequently. This is especially challenging for nurses who are new to obstetric care and have little,

The patient is a 35-year old woman in her first pregnancy. She was very committed to a natural delivery for her daughter. The fetus’s sex had been identified on ultrasound examination and provided to the patient at her request. At 36 weeks gestation, the patient was diagnosed by ultrasound examination by her primary obstetrician to have complete Placenta Previa. The primary obstetrician referred the patient to Dr. de Beau for evaluation. When the patient when presented in labor, ultrasound examination

Obstetric anesthesia is a challenge in these patients because of complex spinal defects and could make regional anesthesia difficult but not absolutely contraindicated. A spina bifida cystica patient with a lesion above T11 is unlikely to experience labor pain. However there is a potential risk of autonomic hyper reflexia in patients with thoracic lesions (T5–T8) and prophylaxis should be provided. There is an increased risk of accidental dural puncture as well as failed block and excessive cranial

Abstract Introduction: Maternal near misses are one of the quality indicators of obstetric care beside maternal deaths. According to United Nations Fund for Population Activity report in 2011, for each maternal death 20 others suffer due to maternal near misses in the world. Objective: The study was aimed to assess the prevalence of maternal near misses and associated factors in Amhara Regional State Referral Hospitals, Northwest Ethiopia. Methods: An Institution based cross sectional study was conducted

When I was younger, I always said that I wanted to be like my grandmother. My grandmother, who is a nationally recognized Cincinnati Enquirer’s Woman of the Year, is a successful Obstetrics Gynecology Registered Nurse. I’ve taken an interest in becoming an Obstetrics Gynecology Physician, also known as an OB GYN solely because of my grandmother’s influence. During the summer, I visit my grandmother in Ohio, and she often takes me to work with her and I get to see just what the job is about. I enjoy

For this reason, obstetric practitioners recommend up to three procedures and only then, as a last resort when the delivery process becomes acute (Hartfield, 2010). The prescription of more medication compared to VB also characterizes C-section. Medications pose a challenge

There are a number of roles involved in supporting both the baby and parent(s). From the minute parent(s) find out they are having a baby, health professionals become involved. These include: Midwife – The main provider of care for a pregnant woman is a midwife. Midwives are well qualified and skilled to ensure full support is given throughout pregnancy and during birth. Obstetrician – A doctor who specialises in pregnancy and birth. Obstetricians can be heavily involved if there are issues during

Discussion Findings and interpretation The current study was undertaken to investigate the effects of the addition of postpartum contraceptive counseling to the antenatal one on modern contraceptive utilization. Any type of intervention either prenatal or combined prenatal-postnatal decreased unmet postpartum contraceptive needs significantly (p<0.05). Although both Group I and Group II increased postpartum contraceptive use significantly, postpartum modern contraceptive use significantly higher

Context. Postnatal depression is one of the most frequent difficulties viewed as behavioral issues and mental sickness/problems in women about four to six weeks after giving birth. It’s a major public health issue given its prevalence and impact not only on mothers and babies but also to their households as well. However, untreated postnatal depression is well-known to suffer adverse results such as unfavorable parenting practices and impaired mother-baby bonding, which in return is known to affect

and accessible, midwife assisted births started to decrease. Around 1910 midwives began being suppressed by doctors, as a method to improve the quality of obstetric care. By 1935, midwives were only attending 13% of birth, and they were mainly assisting minorities and the poor. The decline of the practice of midwifery and increase in obstetric care resulted in a 41% increase of infant mortality due to birth injuries caused by unnecessary medical interventions by an obstetrician (Rooks). Obstetricians

facility, and delay in receiving adequate care and treatment at the facility are the main contributing factor to maternal death (McCarthy & Maine; Thaddeus & Maine 1994). The framework focuses on factors that look into the interval “between onset of obstetric complications and its outcome.” It stresses that “normal” home births are taken out of this equation and delays occur in response to change delivery setting in times of emergencies;

Recto perineal fistula: The operation to repair this defect is performed at birth in order to avoid cosmetic, psychological and potential obstetric consequences in the future. This operation is done before the baby leaves the hospital during the newborn period. The patient is placed in prone position with the pelvis elevated. Multiple 6/0 silk stitches are placed around the fistula site. The incision is about 1.5–2 cm long and divides the entire sphincter mechanism in the posterior midline. The

proven to be more secure than one at a hospital. As stated in the CMAJ article, Outcomes of planned home birth,” Women in the planned home-birth group were significantly less likely than those who planned a midwife-attended hospital birth to have obstetric interventions or adverse maternal outcomes”. The CMAJ articles presents numbers from previous study from January of 2000, spanning over four years, showing that midwife assisted births are less likely to have complications. However, one reason that

INTRODUCTION Acute pulmonary oedema is a rare, but life-threatening problem which may cause significant morbidity and mortality in pregnant women. It may occur due to pathologies such as pre-eclampsia, sepsis, amniotic fluid embolism, fluid-overload or beta-adrenergic tocolytic drugs during the antenatal, intrapartum or postpartum periods. Moreover, pre-existing cardiopulmonary diseases may worsen due to the superimposed effects of physiological changes related to pregnancy (1). Management of these

What can cause pain while I'm breastfeeding? You may feel short pain in your breasts while your milk lets down. The disappointment reflex, additionally known as the milk ejection reflex, is about off by the endocrine hormone oxytocin. It stimulates the muscle cells in your breasts to squeeze out milk. Oxytocin is free whenever your baby feeds at first few days after his birth. On Later, simply wondering feeding your baby may trigger this hormone liberation. You can even realize that your breasts

operative infections, ARDS, pulmonary embolism and maternal mortality. Different studies have quoted different incidence rates of complications associated with PP. Thorkild et al23Reports that increasing liberal use of caesarean section in modern obstetric practice adds to increasing maternal morbidity and also the incidence of placenta previa. He states that incidence of placenta previa is 5 times higher in patients with history of previous LSCSand patients with placenta previa had 6% risk of having

Once the abuse is disclosed by the patient the British Columbia Reproductive Care Program’s (BCRCP) Obstetric Guideline states that the caregiver should (a) be supportive, (b) link presenting health concerns with abuse and consider other health impacts, (c) assess for and minimize potential barriers to care, (d) provide women with information about community

device should be utilized more often when treatment with uterotonics hasn’t adequately resolved bleeding. In 1992, Dr Younes Bakri introduced intrauterine balloon tamponade for the treatment of obstetric hemorrhage during cesarean delivery (1-4). Both the International Federation of Gynaecology and Obstetrics (FIGO) and the International Confederation of Midwives (ICM) have approved the balloon as one of the primary support measures in treating PPH (3, 5). A number of recent reports have described

In order to improve the minimal access fetal surgery technique the following requirements should be met: existing pediatric and obstetric endoscopic techniques need to be modified, novel fetoscopic instruments should be developed, and also it is necessary to use a multidisciplinary team approach. Several obstacles were met during the development of the technique. The issue of poor

PRE-ECLAMPSIA Description Preeclampsia is a condition that occurs only during pregnancy. Some symptoms of preeclampsia may include high blood pressure and protein in the urine, occurring after week 20 of pregnancy. Preeclampsia is often precluded by gestational hypertension. While high blood pressure during pregnancy does not necessarily indicate preeclampsia, it may be a sign of another problem. Pre-eclampsia is one of the most common cause of maternal and perinatal morbidity and mortality. It affects