Readiness for Delivery
Prenatal medical records and records of outpatient care, including the birth plan, are transported to the planned delivery site usually by the 36th week, with subsequent updates sent weekly. The provider should become familiar with the delivery site to meet staff, check for changes to equipment and policies, and review the escalation policy as well as resources available for prompt bedside evaluation, diagnosis, and interven-tions. One way to keep up to date with delivery sites is to participate in drills and simulation of obstetric emergencies that provide the oppor-tunity to learn from errors while not placing patients or staff at risk. Providers should contact consultants or covering physicians to validate coverage …show more content…
Chorioamnionitis is an important risk factor for early-onset GBS disease in women with GBS colonization and can reflect an intrauterine onset of infection in the neonate
Chorioamnionitis or intra-amniotic infection Causes are preterm premature rupture of membranes, prolonged membrane rupture, or prolonged labor; providers should consider administration of antibiotics
Maternal sepsis
Better outcomes and survivability from the complications of severe sepsis and septic shock result from early detection, accurate diagnosis, and aggressive treatment
The immediate recognition and treatment of maternal sepsis is extremely important in order to minimize significant adverse outcomes
Preterm labor or history of preterm labor
Preterm labor occurs in only 6% to 10% of pregnancies but is responsible for 75% of infant deaths and 50% of physically challenged children
The recognition of risk factors as well as management of preterm labor is imperative in order to mitigate adverse outcomes
Postpartum depression
Perinatal and postpartum depression affects one in seven pregnant women
Provider screening tools are available to assist patients and minimize adverse events
Placental …show more content…
Ultrasound studies can determine location and allow visual estimation of the size, implantation, morphology, and anatomy of the placenta
Patients with suspected placenta accreta should be transferred to an appropriate level of maternal care
Prenatal medical records and records of outpatient care, including the birth plan, are transported to the planned delivery site usually by the 36th week, with subsequent updates sent weekly. The provider should become familiar with the delivery site to meet staff, check for changes to equipment and policies, and review the escalation policy as well as resources available for prompt bedside evaluation, diagnosis, and interven-tions. One way to keep up to date with delivery sites is to participate in drills and simulation of obstetric emergencies that provide the oppor-tunity to learn from errors while not placing patients or staff at risk. Providers should contact consultants or covering physicians to validate coverage …show more content…
Chorioamnionitis is an important risk factor for early-onset GBS disease in women with GBS colonization and can reflect an intrauterine onset of infection in the neonate
Chorioamnionitis or intra-amniotic infection Causes are preterm premature rupture of membranes, prolonged membrane rupture, or prolonged labor; providers should consider administration of antibiotics
Maternal sepsis
Better outcomes and survivability from the complications of severe sepsis and septic shock result from early detection, accurate diagnosis, and aggressive treatment
The immediate recognition and treatment of maternal sepsis is extremely important in order to minimize significant adverse outcomes
Preterm labor or history of preterm labor
Preterm labor occurs in only 6% to 10% of pregnancies but is responsible for 75% of infant deaths and 50% of physically challenged children
The recognition of risk factors as well as management of preterm labor is imperative in order to mitigate adverse outcomes
Postpartum depression
Perinatal and postpartum depression affects one in seven pregnant women
Provider screening tools are available to assist patients and minimize adverse events
Placental …show more content…
Ultrasound studies can determine location and allow visual estimation of the size, implantation, morphology, and anatomy of the placenta
Patients with suspected placenta accreta should be transferred to an appropriate level of maternal care