MATERNAL - LEC 3 Flashcards
is a pregnancy complication that is characterized by severe nausea, vomiting, weight loss, and possibly dehydration.
HYPEREMESIS GRAVIDARUM
MEDS FOR HG
PYRIDOXINE, METOCLOPRAMIDE
TREATMENT OF HG
DRINK FLUIDS, BALANCE DIET, IV FLUIDS
OXYGENATION IN NB
- SUPPLEMENTAL OXYGEN
- POSITIVE PRESSURE VENTILATION (PPV)
- SUPPLEMENTAL O2
NASAL CANNULA
OXYGEN HOOD
BAG-AND-MASK VENTILATION
- PPV
CONTINUOUS POSITIVE AIRWAY PRESSURE (CPAP)
a thin, soft tube with prongs that gently fit into the baby’s nostrils, delivering oxygen at a low flow rate.
NASAL CANNULA
a plastic dome or box that surrounds the baby’s head, delivering warmed and humidified oxygen. Face Mask: A mask that fits over the baby’s face, delivering higher concentrations of oxygen.
OXYGEN HOOD
delivers oxygen at a continuous pressure, keeping the airways open and improving oxygen uptake.
CONTINOUS POSITIVE AIRWAY PRESSURE (CPAP)
using a breathing bag and mask to manually assist the baby’s breathing.
BAG-AND-MASK VENTILATION
- occurs within the first 24 hours after delivery.
PRIMARY POSTPARTUM HEMORRHAGE
CAUSES OF PRIMARY POSTPARTUM HEMORRHAGE
often attributed to the “four T’s”: uterine atony (tone), trauma to the genital tract, retained tissue (tissue), and coagulopathy (thrombin). Uterine atony, where the uterus doesn’t contract properly, is the most common cause.
EXAMPLE OF PRIMARY PH
lacerations of the genital tract, extension of an episiotomy, retained placental tissues, hematoma, uterine inversion, and uterine rupture.
occurs between 24 hours and 12 weeks postpartum
SECONDARY POSTPARTUM HEMORRHAGE
CAUSES OF SECONDARY PH
often due to retained placental tissue, subinvolution of the placental site (incomplete uterine involution), or uterine atony (though can be late onset).
EXAMPLES OF SECONDARY PH
retained placental tissue (especially with placenta accreta spectrum), subinvolution, and subacute or chronic uterine atony.
- typically resolves on its own within weeks or months, and often doesn’t require treatment.
Cephalohematoma
- newborn head molding, a common occurrence due to pressure during childbirth, usually resolves on its own within a few days. if the head shape remains uneven or misshapen after 4-6 months, a medical helmet or band might be suggested for correction
MOLDING
often a result of birth-related trauma, are common and usually resolve on their own. However, some may be symptomatic and require medical intervention.
Subdural Hematomas
is a benign neonatal condition involving a serosanguinous, subcutaneous, extra-periosteal fluid collection with poorly defined margins caused by the pressure on the presenting part of the fetal scalp by the vaginal walls and uterus
Caput Succedaneum
