Today I worked antenatal and postpartum. I had a good day and learned a lot from Melissa. I was able to assist in a discharge and assess a patient with a history of PIH and hypothyroidism. I also performed a baby bath and postpartum assessments. I assessed a patient who is high-risk because of a history of fetal demise. And although she was seemed okay she stayed for twenty-four hour surveillance because she had to decelerations in antenatal. My patient had right-sided cholecystitis and was being monitored. Although my patient has a history of PIH I am choosing to write my pathophysiology on PIH to have a better understanding of what happens during pregnancy to cause Gestation Hypertension.
Today impacted me because I was able to see the many steps that take place in labor and delivery and how each unit coordinates with one another to provide the best care for patients. I also learned why antenatal is so important in preventing increased complications in pregnancies …show more content…
Roughly one in fourteen women suffer from PIH during their pregnancy (Cleveland Clinic, 2013). Patients who are at risk of developing this are first time mothers who are younger than 20 or older than 35(Cleveland Clinic, 2013). Mother’s expecting multiple babies such as twins, triplets, and so on. Mothers with a history of PIH or who have relatives that have had PIH are also at risk of developing PIH. Fathers who have had children with mothers who have suffered from PIH during their pregnancy may also be a risk. Other possible risks include diabetes a history of hypertension, kidney disease, or a history of drug or alcohol abuse. Whatever the possible risks are once you develop PIH you are at a high risk of developing preeclampsia, which can also lead to toxemia that can have a fatal outcome if not treated in a timely