Bell's Palsy Flashcards
1
Q
What is bell’s palsy?
A
- it is an idiopathic peripheral facial paralysis resulting from inflammation or compression of the VIIth cranial nerve within the temporal bone
- manifests as dropping of the brow and corner of the mouth, as well as an inability to close the eye on the affected side
- underlying cause not known although occurrence in late pregnancy and puerperium may be caused by the oedema, hypertension, pre-eclampsia or secondary to infection
2
Q
What are some of the issues in pregnancy?
A
- acute onset with an increased frequency during the 3rd trimester and immediate postpartum period
- pain and disfigurement
- may be associated hypertensive disorders of pregnancy
3
Q
How is it managed and what is the midwives role?
A
- commencement of corticosteroids
- close monitoring for hypertension and pre-eclampsia
- refer
- reassurance of short-term nature of condition
- paracetamol for analgesia
- referral to physiotherapist and psychological support
4
Q
What are some of the issues in labour?
A
- if mother had prolonged antenatal corticosteroid use she will require hydrocortisone cover during labour
