Role of nurse in obstetric emergencies
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Obstetric emergencies are existence of sudden obstetrical event which requires immediate action. they are life threatening medical conditions that occur in pregnancy, during or after labor and delivery. few important obstetrical conditions which could cause obstetrical emergencies are placenta previa, abruptio placenta, eclampsia, rupture uterus, prolapsed cord postpartum hemorrhage.obstetrical emergencies can be caused by a number of factors, including stress, trauma, genetics, and other variables.
Signs and Symptoms
Diminished fetal activity. in the late third trimester, fewer than ten movements in a two hour period may indicate that the fetus is in distress.
During pregnancy, brown or white to pink vaginal discharge is normal, bright red blood or blood containing large clots is not. after delivery, continual blood loss of over 500 ml indicates hemorrhage.
Leaking Amniotic Fluid
Amniotic fluid is straw-colored and may easily be confused with urine leakage, severe abdominal pain. stomach or lower back pain can indicate preeclampsia or an undiagnosed ectopic pregnancy. postpartum stomach pain can be a sign of infection or hemorrhage.
Regular contractions before 37 weeks of gestation can signal the onset of preterm labor due to obstetrical complications. abrupt and rapid increase in blood pressure. hypertension is one of the first signs of toxemia.
Loss of Consciousness
Shock due to blood loss (hemorrhage) or amniotic embolism blurred vision and headaches. vision problems and headache are possible symptoms of preeclampsia.
Role of obstetrical care practitioner
the immediate management of the emergency is dependent on the prompt action of the midwife recognition of the problem and the investigation of measures allow time for help to arrive. she needs to recognize the onset of complications perform intervention and treatment she needs to have cognition practical skills that enables her to give emergency obstetrical care including life saving measures when needed being technically up-to-date on the latest evidence based skills having current proficiency in these skills the success of midwife lies in identifying those who are at the potential risk and referring them for expert care. and also being competent in executing emergency measures.
Life threatening, identifying, competent, Rupture Uterus, Prolapsed cord, Postpartum Hemorrhage.