OB Project Week 3
CLTCC-Alexandria
Index
Spontaneous Abortion
Umbilical Cord Compression
Premature Rupture of Membranes
Uterine Inversion
Uterine Rupture
Hematoma of Episiotomy
Meconium Aspiration Syndrome
Infant of a Diabetic Mother
Spontaneous Abortion
Define
Loss of the fetus in uterus before 20 weeks of pregnancy (Spontaneous Abortion: Medline Plus)
Cause. Risk Factors.
According to Medline Plus:
Chromosomal problems which stops fetus from fully developing
Drug & alcohol use
Exposure to environmental toxins
Hormone problems
Infections
Obesity
Systemic diseases from mother
Age
Symptoms
According to Medline Plus:
Lower back/abdominal pain with dull, sharp, cramping characterization
Vaginal bleeding without menstrual cramps …show more content…
Monitor closely up to two weeks
Surgery or medicine to expel fetus may be needed
Long-term Complications
According to Medline Plus:
Rare. Infected abortion may occur if fetal matter remains in uterus after miscarriage.
Nanda
Deficient fluid loss r/t excessive blood loss
Risk for infection
Disabled family coping r/t loss of fetus
Anxiety r/t mother not being able to carry to full-term
Ineffective tissue perfusion r/t excessive bleeding leading to death of fetus
Nursing Interventions
1. Monitor vital signs 2. Note mental status of mother when bleeding 3. Give emotional support and guidance to mother 4. Monitor intake and output 5. Maintain bed rest 6. Encourage fluid intake 7. Refrain from strenuous activity 8. Perform daily weight checks 9. Teach relaxation techniques 10. Advise patient to report any signs of bleeding or severe abdominal pain
Umbilical Cord Compression
Definition
According to Medline Plus:
When blood flow is blocked from the mother to fetus through the cord from misalignment of cord or outside object.
Cause. Risk Factors.
According to Medline Plus:
Preterm rupture of membranes
Cord can get stretched during labor and wrap around baby’s neck
Signs and