# data[].attributes.body
early on - not passing the --> D&C

later - c-section/vaginal delivery

ectopic - always surgical

oxytocin - because the uterus and do not want hemorrhage
-might need it to induce labor as well

cervidal - ripen the uterus

misoprostol - prostaglandin, ripen the uterus (low) and high dose it will cause an abortion

septic - antibiotics

ultrasound - verify fetal death

IVF

benzo's (calm if anxiety)

# data[].attributes.headline
Nsg interventions & psychological considerations

# data[].attributes.subject
Nsg interventions & psychological considerations

# data[].attributes.body
blame themselves - sit and talk, reassurance, restating, active listening, and ...

Support people

educate them on what they will experience - pain, traumatizing, honest communication on the procedures that might take place

educate on what to expect and options

educate and preferences and discuss options for the fetus (baby) and give space - options and possibilities

let them see the baby (if want)

let them be the parent

memory box -

try to avoid putting them on the OB unit

fetal demise - think about the procedure that will occur with this.

coping strategies

support in the hospital - clergy, social worker, and counseling out of the hospital

still will have that postpartum (complicated grieving)

communication

remove yourself from the pregnancy delivery systems

# data[].attributes.body
abdominal cramping (pain)

premature rupture of the membranes

dilation of the cervix

fevers

manifestations of hem/bleeding

past 10 weeks of preg. (HR misses)

elevated HCG

blood (usually bright red and progresses to dark red/brown) and this can be flipped as well - dark been there and bright might indicate that it happen & clots & tissue

assess RF --

lack of fundal height growth

diaphoresis

lightheaded

VS

# data[].attributes.body
-causes problems with tubal, IUDS, PID, birth control
-tubal ligation (grows back)
-STIs
-uterine ablations
-period of ovulation
-endometriosis
-

# data[].attributes.body
miscarriage
-substance abuse (smoking, etoh)
-previous miscarriage
-geriatric pregnancy
-abnormal uterus (fibroids)
- PID
-IUD
-NSAIDS
-Infections
-hormonal problems
-responses of the immune system
-cervical insuff.
-thyroid
-DM
-endometrious
-underweight or overweight
-misoprostol
-prostate medication (finasteride, tamsulosin)
-MEDICATIONS
-employment (healthcare, high stress - CEO, MDs, pilots, EMS, on your feet all day (waitress), chemicals or aerosols (factory)
-SES --> low SES tend to have less prenatal HC, prenatal and care might be lacking, malnutrition
- age --> >35 yo, early teens,

ectopic pregnancy

# data[].attributes.body
O2

c-section

IVF - Iso (LR and NS), colloids or a vasopressor - thinking about blood volume

transfusion

T&C

lab monitoring!! H/H, clotting times,

Kleihauer-betke test

ultrasound - fetal and placenta assessment (abruption)

non-stress test - monitor baby for kicks and moves, push the button

steroids - betamethosone (give moms at 32 weeks to enhance lung development), lungs development are super important! Lungs are the last things to develop, try and keep baby in for at least >24 hrs to help those lungs develop

bedrest

mag sulfate - relax the uterus, calms the muscles, usually for preeclampsia and eclampsia, ovoid using over 5-7 days

# data[].attributes.body
continue monitoring of mom and baby

mom on the left side (perfusion)

O2

elevate her feet

knee to chest (pushes blood flow in a different direction)

calm and distractions

palpate the uterus for tenderness to determine the category

fundal height (serial monitoring)

notify provider and educate on possible c-section depending on category

# data[].attributes.body
fetus normal healthy baby - classifications of abruptions - asymptomatic (class 0)

--class 1 - mild and may not see vaginal bleeding and slight uterine tenderness, no fetal distress

--class 2 - no sig to a mod vaginal bleeding, sig uterine tenderness, change in VS, and fetal distress (bradycardia, decels (frequent) - due to hypoxia, tachycardia (compensate for the lack of o2, blood volume),

--class 3 - severe to no to lots of vaginal bleeding, maternal shock and fetal death

blood can compress the cord and cause hypoxia and or fetal death

these can occur in early - malnutrition (growth marks, fundal height small, amnio fluid be decreased)

premature birth

low birth weight

# data[].attributes.body
dark red blood
uterine pain
asymptomatic - not affecting the baby in an adverse way. usually noted after the baby is born, looking at the placenta.
contractions
abdomin board like
change in vital signs - tachycardia, hypotension, --> slow or fast
evidence of fetal distress
flushing
diaphoresis
pale
dry mucous membranes
assess Urine output -- if they are bleeding then hypovolemia will occur and there might be a decrease in urine.

# data[].attributes.body
preeclampsia
premature rupture of the membranes
trauma (blunt)
cig or nicotine or cocaine use
or if have had this before
maternal age >35
multiple pregnancy
poly hydramnios's
sudden uterine decompression
short umbilical cord
amnionitis
invetrofertilization (because of the way the embryo is implanting)

# data[].attributes.body
placenta left and not peeled off after delivery

# data[].attributes.body
uterus not contracting

# data[].attributes.body
from a previous surgery or c-section that can weaken the wall of the uterus

might also happen if in a trauma

# data[].attributes.body
spontaneous loss

ectopic preg - ovum implants other than the uterus, usually fallopian tube

# data[].attributes.body
hem when we see a pad fill up in 15 mins, clots larger than an egg, VS changing - tachycardia, hypotension, if not caught then bradycardia

# data[].attributes.body
placenta did not embed into the vaginal wall and detach (peel away)