Midwifery Nursing | High-Risk Pregnancy and Obstetric Emergencies | Postnatal Mother Assessment Tool |

 

High-Risk Pregnancy and Obstetric Emergencies :

Preterm Labor, Preeclampsia, and Eclampsia :

Preterm Labor is the onset of labor before 37 weeks of gestation, leading to premature birth.

Causes:

• Multiple pregnancies
• Infections
• Uterine abnormalities

Management:

• Tocolytics (e.g., nifedipine) to delay labor
• Corticosteroids to enhance fetal lung maturity
• Bed rest and hydration

Preeclampsia and Eclampsia

• Preeclampsia: High blood pressure (>140/90 mmHg) and proteinuria after 20 weeks gestation.
• Eclampsia: Severe preeclampsia with seizures.

Management:

• Magnesium sulfate for seizure prevention
• Antihypertensives
• Emergency delivery if severe

Gestational Diabetes and Hypertension

• Gestational Diabetes Mellitus (GDM): High blood sugar during pregnancy, increasing risk of fetal macrosomia.
• Gestational Hypertension: Blood pressure elevation without proteinuria after 20 weeks.

Management:

• Dietary modifications
• Insulin therapy if required
• Regular fetal monitoring

Obstetric Hemorrhage and Cesarean Section Care

Obstetric Hemorrhage

• Postpartum Hemorrhage (PPH): Blood loss >500mL (vaginal) or >1000mL (C-section).
• Causes: Uterine atony, retained placenta, trauma.

Management:

• Uterine massage
• Oxytocin administration
• Blood transfusion if needed

Cesarean Section Care

• Preoperative: Informed consent, IV line establishment
• Postoperative:
• Monitor for bleeding, infections
• Pain management
• Early ambulation

Nursing Care Plan: Preeclampsia

Nursing Diagnosis	Risk for complications related to high blood pressure and proteinuria
Assessment	High BP, proteinuria, headache, visual disturbances
Nursing Interventions	- Monitor BP, urine output - Administer antihypertensives - Educate on fetal movement tracking - Prepare for possible early delivery
Expected Outcome	BP stabilized, no seizures, healthy fetal outcome

 

High-risk pregnancies require close monitoring and timely interventions to prevent maternal and neonatal complications. Nurses play a vital role in assessing, managing, and educating mothers to ensure safe pregnancies and deliveries.

Postnatal Mother Check-Up Tool

Assess your postnatal recovery and get personalized recommendations

Basic Information

Days since delivery:

Type of delivery: Select... Vaginal delivery Cesarean section Assisted vaginal delivery

Physical Symptoms

Bleeding (lochia): Select... None/Minimal Light (less than period) Moderate (like period) Heavy (more than period) Excessive (soaking pad in 1 hour)

Bleeding color: Bright red Pink Brown Yellow/white

Bleeding odor: Normal/no odor Foul/unpleasant odor

Abdominal pain: None Mild (occasional) Moderate (interferes with activities) Severe (constant, intense)

Perineal pain (if vaginal delivery): None Mild Moderate Severe

Other Symptoms

Fever: No fever Low-grade (37.2°C - 38°C / 99°F - 100.4°F) High (above 38°C / 100.4°F)

Breast discomfort: None Mild fullness Moderate pain/engorgement Severe pain with redness/fever

Urination issues: Normal Painful/burning Frequent/urgent Leakage

Bowel movements: Normal Constipated Diarrhea Painful

Emotional Well-being

Mood: Generally good Easily upset Anxious/worried Sad/depressed

Sleep: Getting adequate sleep Frequently interrupted Difficulty sleeping

Appetite: Normal Reduced Increased Variable

Your Postnatal Assessment

Remember: This tool is not a substitute for professional medical advice. Always consult with your healthcare provider about any concerns.

Comprehensive Blood Report Analyzer

Patient Information

Full Name:

Age:

Sex: Male Female

Patient ID:

Complete Blood Count (CBC)

Hemoglobin (g/dL):

WBC (cells/μL):

RBC (million/μL):

Platelets (×10³/μL):

Hematocrit (%):

MCV (fL):

Liver Function Tests

SGPT/ALT (U/L):

SGOT/AST (U/L):

ALP (U/L):

Total Bilirubin (mg/dL):

Kidney Function & Electrolytes

Serum Creatinine (mg/dL):

Blood Urea (mg/dL):

Sodium (mEq/L):

Potassium (mEq/L):

Lipid Profile

Total Cholesterol (mg/dL):

HDL (mg/dL):

LDL (mg/dL):

Triglycerides (mg/dL):

Other Tests

Fasting Glucose (mg/dL):

HbA1c (%):

TSH (μIU/mL):

Analysis Report

Complete Blood Count (CBC)

Parameter	Value	Status	Reference Range

Liver Function Tests

Parameter	Value	Status	Reference Range

Kidney Function & Electrolytes

Parameter	Value	Status	Reference Range

Lipid Profile

Parameter	Value	Status	Reference Range

Other Tests

Parameter	Value	Status	Reference Range

Clinical Interpretation