Maternity

Maternity

 

Read the following articles. Provide three important points you took from each article:

When the Cord Comes First: Umbilical Cord Prolapse (2015)
Placental Abruption (2015)
Newborn safety bundle to prevent falls and promote safe sleep (2018)
Reproductive health concerns in women with systemic lupus erythematosus (2015)
You must provide a complete APA reference for one of the articles and reply to one peer. Initial posts must be no less than 250 word.

USE THIS AS A SAMPLE DO NOT COPY PASTE THIS
When the Cord Comes First: Umbilical Cord Prolapse (2015)

1. Umbilical cord prolapse might be suspected when there is a sudden, prolonged episode of fetal bradycardia accompanied with moderate to severe variable decelerations, especially if this change takes place after ROM. I liked this point as it is good information on how one might identify potential umbilical cord prolapse.

2. Guidelines recommend that all hospitals are able to begin a c section within 30 minutes of the decision to operate. This surprised me as I hadn’t thought of this type of guideline. 30 minutes might feel like an eternity to someone in this situation, however preparing for an operation in that amount of time might be difficult.

3. Bladder filling can help push the presenting part upward which will then relieve cord compression. This sounds terrible, not only is this poor mother going through umbilical cord prolapse but then having fluid pumped into her bladder?

Placental Abruption (2015)

1. “AR had used crack cocaine in the parking lot to relieve pain and speed labor along” this sentence stuck with me because it sounds like there might be some impaired judgement going on there. The end of the article stated that social services were notified which was a relief.

2. Placental abruption is more common with cocaine binging, rather than with regular use. This was surprising. I wonder why this is and also how they found this information out. I can see a mom trying to quit cold turkey once she finds out she’s with child, but then relapsing and binging cocaine.

3. Risk factors: younger or older maternal age, multiple close together pregnancies and deliveries, cigarette smoking and drug use, multifetal pregnancies, hypertension, PROM, oligohydramnios, poor nutrition, trauma, coagulopathies, and intrauterine infection.

Newborn safety bundle to prevent falls and promote safe sleep (2018)

1. Nurses should be readily available to safely place newborns close to the mother but in their own bed when mothers fall asleep while holding their newborn. I imagine being a nurse and doing this might feel uncomfortable for the first couple times. Personally, I hate waking people up so I can’t imagine waking a sleeping mom by taking her baby from her arms. I imagine the family wouldn’t appreciate reinforcing this rule, however it is best for the baby’s well being.

2. 55% of infant falls happened from falling out of sleeping parent’s arms. I can see why this is such a common accident. Mom is exhausted, up at night feeding her baby and doses off. It would be hard to stay awake when sleep deprived and getting baby snuggles.

3. Instructions are given to mothers to call the nurse for physical presence during infant feedings at any time of day or night. I imagine this might feel uncomfortable for the mom and why she might not adhere to these instructions. A breastfeeding mom might not be completely secure doing this in front of another person, or might feel the need to practice independence and want to feed her baby while alone without supervision/help. The mother might feel that this is an invasion of her privacy, rather than a safety measure put in place for infant fall prevention.

Reproductive health concerns in women with systemic lupus erythematosus (2015)

1. Possible causes of women with lupus having less children than desired are disease activity, medication side effects, and women’s intentional decision to delay conception due to recommendation from their doctors.

2. Medication used to treat SLE can cause premature ovarian failure. This makes sense why women with lupus might have less children than they desire.

3. Likelihood of good pregnancy outcomes for both the mother and infant are linked to the timing of conception during a period of low disease activity. This might impede on a woman’s ability to have the amount of children she desires as what if her decrease in disease activity is at a time where she doesn’t feel ready for a child, but when she feels ready her disease activity increases. This in combination with the timing of menopause really narrows down the opportunity for a woman with lupus to have children.

 

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Solution

When the Cord Comes First: Umbilical Cord Prolapse (2015)

  1. Umbilical cord prolapse (UCP is an occurrence that involves the presenting of the fetal umbilical cord in the birth canal alongside or before the presenting part of the baby.
  2. Generally, there are two types of UCP which include occult and overt occult UCP occurs when the code is not visible but has already descended next to the presenting part of the baby but not past it. On the other hand, overt at UCP occurs when a cord is Visible in the perineum after membranes rupture or is palpated in the vagina.
  3. The central risk factors of UCP include artificial rupture of membrane, and iatrogenic cause’s UCP can also occur spontaneously in some cases.

Placental Abruption (2015)

  1. Placental abruption is simply the complete or partial detachment of the placenta before a fetus is delivered.
  2. The major symptoms of placental abruption include abdominal pain vaginal bleeding, which is normally accompanied by uterine Tenderness, uterine tachysystole, and reassuring fetal heart rate pattern.
  3. Placental abruption is one of the central causes of neonatal morbidity and mortality and also maternal morbidity and mortality, especially if it occurs preterm.

Newborn safety bundle to prevent falls and promote safe sleep (2018)

  1. The improvement and sustenance of newborn infant safety is important in acute care facilities so as to reduce newborn falls
  2. The central risk factors for newborn falls in acute care facilities include a high level of  fatigue among mothers cesarean birth and epidural anesthesia
  3. Central strategies to avoid newborn falls in acute care facilities include providing crib cards on baby cribs, conducting nurse rounds every one to two hours, and nurses’ role-modeling safe sleep practices.

Reproductive health concerns in women with systemic lupus erythematosus (2015)

  1. Women are more likely to be diagnosed with systemic lupus erythematosus (SLE) compared to men.
  2. Women with SLE can experience challenges such as having fewer children and having difficulties maintaining pregnancy or conceiving, and general infertility.
  3. Women with SLE, therefore, require adequate interventions and plans from health caregivers to effectively manage their reproductive health choices.

 

References

Kartoz C. R. (2015). Reproductive Health Concerns in Women with Systemic Lupus

Erythematosus. MCN. The American journal of maternal child nursing40(4), 220–E16. https://doi.org/10.1097/NMC.0000000000000145.

Lipke, B., Gilbert, G., Shimer, H., Consenstein, L., Aris, C., Ponto, L., Lafaver, S., & Kowal, C. (2018). Newborn Safety Bundle to Prevent Falls and Promote Safe Sleep. MCN: The American Journal of Maternal/Child Nursing, 43(1), 32–37. https://doi.org/10.1097/nmc.0000000000000402

Maher, M. D., & Heavey, E. (2015). When the cord comes first. Nursing, 45(7), 53–56. https://doi.org/10.1097/01.nurse.0000466449.65548.4a

Tikkanen, M. (2015). Placental Abruption. Obstetric Anesthesia Digest, 31(4), 212. https://doi.org/10.1097/01.aoa.0000406659.89466.1e

 

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