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