NUR 211 High Risk OB

high risk obstetrics

a pregnancy in which the life or health of the mother or fetus is jeopardized by a disorder related to pregnancy

high risk status for the mother extends through...

6 weeks after delivery

What are the three leading causes of maternal mortality within the last 50 years?

pregnancy induced hypertension, pulmonary embolism, and hemorrhage

What are four factors strongly related to maternal death?

age < 20 and >35, lack of prenatal care, low educational attainment, unmarried status

Induction of Labor is considered by the physician when...

ending the pregnancy because it benefits both the mother and fetus and when labor and vaginal birth are considered safe

What are contraindications to Induction (both labor and vaginal birth)?

-placenta previa (hemorrhage during labor)
-vasa previa (umbilical cord vessels branch over the amniotic sac rather than inserting into placenta)
-fetal hemorrhage possibility
-transverse fetal lie
-umbilical cord prolapse
-classic uterine incision

placenta previa

implantation of the placenta in the lower uterus that can cause hemorrhage during labor

vasa previa

umbilical cord vessels branch over amniotic sac rather than inserting into placenta

What should be done if placenta previa, vasa previa, or fetal hemorrhage occurs?

c-section instead of induction

why is transverse fetal lie an issue?

can contribute to dysfunctional labor and possible shoulder dystocia

what is indicated when umbilical cord prolapse occurs?

immediate delivery by c-section

what does a classic uterine incision indicate?