01-HIGH-RISK-PREGNANT-CLIENT.pdf

CARE OF MOTHER, CHILD AT RISK: ACUTE/CHRONIC IDIANALE BATCH 2024 ST. LUKE’S COLLEGE OF NURSING TOPIC 1: NURSING CARE OF THE HIGH RISK PREGNANT CLIENT 8. Maternal Deaths...

CARE OF MOTHER, CHILD AT RISK: ACUTE/CHRONIC IDIANALE BATCH 2024 ST. LUKE’S COLLEGE OF NURSING TOPIC 1: NURSING CARE OF THE HIGH RISK PREGNANT CLIENT 8. Maternal Deaths 9. Kidney Failure 10. Perinatal Condition o Screening for pelvic handling COMMON CAUSES OF MATERNAL DEATH Hemorrhage ○ bleeding after childbirth ○ can kill a healthy woman hours after ○ Normal: 200-500 mL for NSD ○ Normal: 800-1000 mL for Cesarean Delivery Hypertension Sepsis ○ nagsstart sa GI **Approximately 810 women die from preventable ○ Maternal Sepsis kapag during and causes related to pregnancy and childbrith after pregnancy HIGH RISK PREGNANCY ○ Although preventable, major cause of death siya pregnancy in which the mother or fetus Labor and Delivery Problems has significant increased chance of harm, ○ Shoulder distortia damage, injury, or disability (morbidity), Oxytocin yung common and loss of life or death (mortality). treatment one in which concurrent disorder, madalas masikip na pelvis or pregnancy related complication, or sa slow dilatation external factor jeopardizes the health of Complications Related to Abortion the mother and/or fetus. ○ Cases of abortion May mga healthy bago naging preggo Methotrexate kaso nagkakaroon ng factors na Misoprostol nakakaaffect kaya nagiging high-risk sila ** October-November marami deliveries Risk Factors Top 10 Causes of Death in the Philippines Demographic Factors o Age - < 16 and > 35 y/o 1. Heart Disease ▪ Hindi sure ano yung 2. Stroke correlation sa teenagers 3. Cancer pero madalas due to 4. Chronic Obstructive Pulmonary disease delayed prenatal care 5. Road Accidents and Injuries o Weight - > 25 overweight or 6. Diabetes underweight < 18.5 before 7. Dengue Fever pregnancy PROPERTY OF ODLID 1 CARE OF MOTHER, CHILD AT RISK: ACUTE/CHRONIC IDIANALE BATCH 2024 ST. LUKE’S COLLEGE OF NURSING ▪ yung baby rin nagiging with neurologic deficit, birth injury either of the two ot malformation o Height - < 5 feet Current OB Status ▪ Madalas hindi nakakapag o Late or no prenatal care NSD o Maternal anemia ▪ < 45 in di nakakapagdeliver o Rh sensitization daw ng full term baby o Ante-partal bleeding: placenta ▪ Pwede maglead to previa and abruptio placenta premature birth o Pregnancy induced hypertension ▪ damage to the vaginal o Multiple gestation tissue and leads to excessive o Premature or postmature labor bleeding o Polyhydramnios Socioeconomic status ▪ excessive accumulation of o Inadequate Finances amniotic fluid ▪ waiver o PROM o Overcrowding, poor standards of ▪ Premature rupture of housing, poor hygiene membranes o Nutritional deprivation o Fetus inappropriately large or small; o Severe social problems abnormality in test for fetal ▪ kasama yung anxiety from well-being, abnormality in the parents esp pag presentation unplanned Maternal Medical History/Status o Unplanned and unprepared - previous history should be recorded pregnancy too kahit noong bata pa siya ▪ mental and emotional (mommy) health o Cardiac or pulmonary disease Obstetric History o Metabolic Disease: diabetes, o History of infertility or multiple thyroid gestation o Endocrine Disorder: pituitary, ▪ family member adrenal ▪ partner’s fam member o Chronic renal disease: repeated o Grand-multiparity UTI, bacteriuria o Previous abortion or ectopic o Chronic hypertension pregnancy o Venereal and other infectious o Previous loses: fetal death, diseases stillbirth, neonatal or perinatal o Major congenital anomalies of the deaths reproductive tract o Previous operative OB: cesarean o Hemoglobinopathies section, mid-forceps delivery ▪ group of disorders passed o Previous uterine or cervical down through families abnormality ▪ abnormal structure of the o Previous abnormal labor: hemoglobin premature labor, postmature labor, ▪ e.g. sickle cell anemia and prolonged labor o Seizure disorders o Previous high risk infant: low birth o Malignancy weight (SGA), macrosomia (LGA) PROPERTY OF ODLID 2 CARE OF MOTHER, CHILD AT RISK: ACUTE/CHRONIC IDIANALE BATCH 2024 ST. LUKE’S COLLEGE OF NURSING o Major emotional disorders, mental o Smoking during pregnancy retardation o Regular alcohol intake Habits/Habituation o Drug use/abuse - give healthy advices PROPERTY OF ODLID 3