morbidity and mortality Flashcards
death
mortality
serious complications that significantly affect one’s life and could lead to death
morbidity
*acronyms for organizations associated with HR perinatal nursing
awhonn
association of women’s health, obstetric and neonatal nurses
-gyn, OB, and healthy neonates
nann
national association of neonatal nurses
-HR neonatal nurses and neonatal nurse practitioners
acnm
american college of nurse midwives
-certified nurse midwives and certified midwives
acog
american college of obstetricians and gynecologists
-medical doctors
smfm
society for maternal-fetal medicine
-medical doctors: maternal fetal medicine, high risk obstetrician
aap
american academy of pediatrics
-also has SoNPM (section on neonatal perinatal medicine)
-medical doctors
death of a woman
while pregnant or within 42 days of the
end of the pregnancy, not from accidental
or incidental causes. (regardless of
duration or site of the pregnancy)
maternal mortality
death resulting from direct or indirect causes later than 42 days but less than one year after the end of pregnancy
late maternal death
of maternal deaths per 100,000 live births
maternal mortality rate
the death of a woman during pregnancy or within one year of the end of pregnancy from a pregnancy complication, a chain of
events initiated by pregnancy, or the
aggravation of an unrelated condition by
the physiology effects of pregnancy
pregnancy related death
unexpected outcomes of labor and delivery
that result in significant short- or long-term
consequences to a woman’s health
severe maternal morbidity (SMM)
of delivery hospitalizations with at least one severe maternal morbidity per 10,000 delivery hospitalizations
SMM rate
most common cause pregnancy related death in U.S.
cardiovascular problems
of deaths of infants younger
than 1 year of age per 1000
live births
infant mortality rate
of deaths of infants younger
than 28 days of age per 1000
births
neonatal mortality rate
of stillbirths and the number of
neonatal deaths per 1000 live
births
perinatal mortality rate
aim
alliance for innovation on maternal health
5 R structure in patient safety bundles by AIM
-readiness
-recognition and prevention
-response
-reporting and systems learning
-respectful, equitable, supportive care
stratification of maternal and neonatal care into 3 levels of complexity; recommended referral of high risk pts to higher level centers
regionalization
4 categories pregnancy risk factors
-biophysical
-psychosocial
-sociodemographic
-environmental
3 examples biophysical pregnancy risk factors
-genetic and developmental
-nutritional status
-medical and obstetric disorders
5 examples psychosocial pregnancy risk factors
-tobacco
-caffeine
-alcohol
-drug
-psychological status
7 examples sociodemographic pregnancy risk factors
-low income
-lack of prenatal care
-age
-parity
-marital status
-residence/social determinants of health
-ethnicity
3 examples environmental factor pregnancy risk factors
-infections
-radiation
-chemicals
4 categories of high risk infants
-preterm infant
-infant w/ special health care needs or dependence on technology
-infant at risk because of family issues
-infant with anticipated early death
neonate with a greater than average chance of morbidity or mortality
high risk neonate
3 risk factors for high risk neonate
-high risk pregnancy (fetal, maternal, or placental anomalies or disease)
-complicated birth (distress, asphyxia, hemorrhage)
-problems during newborn transition (hypoglycemia, resp distress)
3 classifications for high risk neonate
weight (size)
gestational age
predominant pathology
