High-risk pregnant women should receive case management services. Case managers are expected to closely monitor the pregnancy through regular contact with the physician and patient to promote a healthy birth outcome also ensuring that no elective deliveries are performed before 39 weeks of gestation by agreement with all professional providers, and Decreasing the cesarean section rate among multi women, Case manager in ob., can review a client's progress, consider successes and barriers, and evaluate the previous period of case management activities, follow up apt, fetal count sheel,NST on time, Prepare for NST, medications used during maternity, in case of emergency what to do, cases need high risk obstetrician .monitor diabetes, …show more content…
Demonstrate knowledge within women about hypertension, normal BP, eclampsia, preeclampsia Example this case
Case 1: A 22 year old multipara female with no prenatal care was brought to the ER
After having two "fits" at home. Her mother thinks she is about eight month’s pregnancy
And noticed that her face and hands had become puffy within the preceding 3 days, and
That she had complained of headache, blurred vision, and abdominal pain earlier in the
Day. Her past medical was unremarkable.
Examination showed a comatose pregnant young woman with foamy spittle at the
Mouth. Her blood pressure was 160/110, pulse 118, and her temperature was 37.9.
The chest examination was unremarkable. Examination of the gravid abdomen showed
A fundal height consistent with 34 weeks, a single fetus, vertex and engaged, with a
Fetal weight of approximately 2,000g. Fetal heart rate of 136 bpm. There was
Generalized edema present. Deep tendon reflexes were 4+/4+ with sustained knee and
Ankle clonus. Vaginal exam - cervix 1-2 cm dilated and 75% effaced. The vertex was
Presenting at 0 station. Membranes were