By Michael A. Belfort, George R. Saade, Michael R. Foley, Jeffrey P. Phelan, Gary A. Dildy III
Serious Care Obstetrics presents specialist medical counsel all through on how one can maximize the possibilities of your sufferer and her child surviving trauma.In this stimulating textual content, the world over well-known specialists consultant you thru the main difficult occasions you as an obstetrician are inclined to face, allowing you to skillfully:Recognize stipulations early-on which would end up existence threateningImplement quick life-saving remedies in emergency situationsMaximize the survival customers of either the mummy and her fetusThe 5th version of this renowned publication may help you retain your composure in excessive danger medical occasions, making it a useful source for any health practitioner accountable for the care and administration of pregnant girls and their unborn little ones.
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Extra resources for Critical Care Obstetrics, 5th Edition
4 Case example. Maternal hemodynamic and oxygen transport data following interventions. 6 L/min/m2 1271 dyne/s/cm5 228 dyne/s/cm5 54 g/m2 Oxygen transport values CaO2 CvO2 DO2 VO2 O2ER 16 mL/dL 129 mL/dL 896 mL/min 224 mL/min 25% CVP, central venous pressure; PAP, pulmonary artery pressure; PCWP, pulmonary capillary wedge pressure; CO, cardiac output; CI, cardiac index; SVR, systemic vascular resistance; PVR, pulmonary vascular resistance; LVSWI, left ventricular stroke work index. CaO2, arterial oxygen content; CvO2, venous oxygen content; DO2, oxygen delivery; VO2, oxygen consumption; O2ER, oxygen extraction ratio.
Adverse fetal heart rate changes during labor. The nurse interpreted the prolonged deceleration as non-reassuring and immediately initiated appropriate interventions. The charge nurse was notified of the need for immediate assistance and was asked to notify the CCOB physician of the adverse change in fetal status. The nurse performed a digital vaginal exam which ruled out the presence of an umbilical cord prolapse. The cervix was noted to be 4 cm dilated and 90% effaced. A second nurse arrived and immediately began respositioning the patient in order to decrease umbilical cord compression.
In the event that adverse changes in maternal or fetal status persist, despite initiation of appropriate interventions, or acute deterioration in maternal or fetal status occurs, decisions regarding delivery of the fetus may be necessary. Thus, the plan of care should provide for the capability to perform emergent delivery via cesarean section should it become necessary. In addition, the potential urgent need for appropriate personnel and resources to resuscitate and stabilize the newborn should be anticipated and addressed in the plan of care.
Critical Care Obstetrics, 5th Edition by Michael A. Belfort, George R. Saade, Michael R. Foley, Jeffrey P. Phelan, Gary A. Dildy III