High Risk Labor ( OB NOTES VEEY HELPFUL)

Aug 25th, 2016
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Nursing school OB of high risk labor !!!!

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Chapter 68Pg. 1060 the EndPolyhydramniosPolyhydramnios- Means excessive amount of amniotic fluid (>2 L or 2,000 mL)o Is seen in approximately 10 percent of pregnant diabetic women, and alsoaccompanies neural tube defects, such as spina bifa, and anchpaly.o The womens abdomen is excessively large, producing dyspnea and difficultywith movemento The skin is stretched tightly with excessive stretch marks (straie gravidarum)may be presento Uterine muscles also have been stretched, which may lead to infectivecontractions (dystocia)o And failure of the uterus to contract following childbirthPlacenta Accreta- a placenta that fails to expel during 20 to 30 minutes afterdelivery, or leaves remnants in the uterus that is harmful for the mothero Also recalled a retained placentao The tissue must be removed right after delivery so that the women does nothave an infection or hemorrhageo It may have happened because of the placenta fail to expel the uteruso The birth attendant may have to remove the placenta manually and perform apost-partum D&Co If the bleeding is too much then a hysterectomy may have to performedOther high risk pregnanciesProlonged Pregnancyo A pregnancy continuing beyond 42 weeks is known as a prolonged pregnancyo The obstetrician may need to induce labor or perform a C-sectiono The condition of the fetus is the determining factoro If there are any signs of fetal distress, then a C-section is most likely to

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