Journal of Obstetric, Gynecologic, and Neonatal Nursing This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Acute Fatty Liver of Pregnancy Complicated by Quadruplets
ConclusionOn postoperative day 2, the woman began to experience agitation, deterioration in mental status, and decreased ability to communicate. Fibrinogen decreased from 327 to 225, international normalized ratio (INR) increased from 2.2 to 2.5, ammonia increased from 33 to 51, and creatinine was 2.60. A care team including renal specialists, critical care providers, maternal/fetal medicine and obstetric intensive care unit nurses agreed to transfer the woman to a long‐term acute care facility with an in‐house live transplant team for ongoing support and care. The diagnosis of AFLP prior to surgical incision proved cr...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Nan Ybarra Tags: Childbearing Source Type: research

Multidisciplinary Care of a Woman Experiencing Obstetric Hemorrhage
ConclusionImplementation of a standardized, evidenced‐based toolkit for obstetric hemorrhage will improve patient outcomes and provide opportunities to intervene with fluid and volume replacement. Implementing multidisciplinary education throughout the hospital will allow staff to mobilize resources to care for these high‐risk women. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Jennifer L. Holt Tags: Childbearing Source Type: research

Mirror Syndrome: A Rare, Potentially Life‐Threatening Obstetric Complication
ConclusionNurses were ideally suited to provide family‐centered and holistic care to this woman and her family. Nurses with varying areas of expertise participated in the care of this maternal/newborn dyad. Throughout the pregnancy, nurses were an integral part of the multidisciplinary team that provided clinical care, education, and psychosocial support. Comprehensive maternal assessment and evaluation resulted in the timely diagnosis and prompt intervention for mirror syndrome. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Tyra Jones, Susan R. Miesnik Tags: Childbearing Source Type: research

Multidisciplinary Management Pulmonary Arterial Hypertension in Pregnancy
ConclusionPulmonary arterial hypertension during pregnancy can be life threatening for the woman and newborn. Communication, collaboration, and flexibility among multiple disciplines led to a positive outcome for mother and newborn. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Dale Monnier, Donna Tucciarone, Susan Fair Tags: Childbearing Source Type: research

Multidisciplinary Approach to Reduce the Risk of Morbidity and Mortality Related to Placenta Accreta
ConclusionAlthough it is not always possible to prepare for an emergent patient who presents to the L&D unit with an acute bleeding episode due to an abnormal placentation, the admission of this woman to the antepartum unit at 32 weeks gestation and multidisciplinary planning ensured that the woman and infant had safe passage. It is essential that all providers be aware of the potential complications and the potential interventions. It is imperative that preparation for massive transfusion is in place and that all necessary equipment is available. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Kathryn J. Corso, Shawna Robertson Tags: Childbearing Source Type: research

Mirror Syndrome: A Reflection of Fetal Health
ConclusionAt this point the mother continued to refuse delivery. An ethicist was called in to assist and described the four fundamental principles of ethics, beneficence, autonomy, nonmaleficence, and justice, and their relationship to this case. After 2 days of hospitalization the woman relented and a cesarean was performed. The mother needed additional blood products but was discharged to home after 6 days. The newborn underwent emergency surgery to remove the tumor, however, she succumbed to heart failure during the postoperative period. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Patricia A. Heale Tags: Childbearing Source Type: research

A Case Study of Surviving Puerperal Group A Sepsis
ConclusionThe occurrence of GAS sepsis remains low. However, given the combination of relative rarity and atypical presentation, recognition is frequently a stumbling block to treatment. Therefore, special attention to the identification of the atypical symptoms associated with GAS sepsis is important due to the high risk of associated mortality. It is recommended that pregnant and postpartum women who present with atypical symptoms be evaluated with consideration of eliminating GAS infection from the differential before seeking other causes. Nurses are the front‐line staff caring for childbearing women and need to be aw...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Margie A Bridges Tags: Childbearing Source Type: research

An Interprofessional Model of Care for the Pregnant Woman with Complex Psychiatric Illness
ConclusionUtilizing concepts of ethical and moral care coupled with interprofessional coordination can minimize maternal and neonatal morbidity and provide a safe environment for the woman, family, and the care team. This case illustrates the need for early postpartum follow‐up for women with depression. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Virginia Silva Tags: Childbearing Source Type: research

Case Study of Malignant Hyperthermia
ConclusionFollowing a visit from our accrediting body in 2012, it was identified that the obstetric unit was not adequately prepared for a MH crisis event. Recommendations were provided to implement staff education and to develop an MH cart stocked with medications and supplies needed in the event of an emergency. Staff education was initiated and drills were performed to enhance awareness and demonstrate competency. Utilizing resources from the main operating room, pharmacy, and the Malignant Hyperthermia Association of the United States (MHAUS) the MH cart was established and placed on the obstetric unit. Without the rec...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Amy J. Dagestad, Melanie D. Hermann Tags: Childbearing Source Type: research

Asthma Management During Pregnancy
ConclusionAsthma is a chronic medical condition that complicates pregnancy. Roughly one third of the symptoms of pregnant women improve, one third remain the same, and one third worsen. Health care providers need to diligently monitor their patients for signs and symptoms of exacerbation. Management strategies should focus on identifying risk factors, educating the patient and the health care team, and improving communication skills to guarantee successful outcomes for mother and fetus. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Gina M. Scott, Kathy Brereton, Valerie Rappa Gray, Pamela Kay Turner Tags: Childbearing Source Type: research

Acute Renal Failure in Pregnancy
ConclusionManagement of this woman with superimposed preeclampsia and HELLP syndrome with complications of DIC and acute renal failure presented a challenge to our health care team. Management required a multidisciplinary team approach to prevent further deterioration of kidney function and kidney disease. Acute renal failure was identified early by the health care team. The collaboration of the health care team and their ability to utilize each other's knowledge and expertise resulted in the woman being on dialysis short term, restoration of her kidney function, and her discharge on oral antihypertensive medication. (Sour...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Kathy Brereton, Gina M. Scott, Valerie Rappa Gray, Pamela Kay Turner Tags: Childbearing Source Type: research

Case Study of a Complicated Postpartum Recovery Related to Acute Fatty Liver of Pregnancy
ConclusionInterdisciplinary collaboration resulted a full recovery for the woman, and she was discharged on Day 87. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Sharon Sabella Tags: Childbearing Source Type: research

Multidisciplinary Perinatal Palliative Care Plan for a Pregnant Woman Carrying a Fetus with Trisomy‐13 and Her Family
ConclusionWidespread knowledge about perinatal loss and the grief that follows has enabled nurses to be ideally situated to provide family centered obstetric care for these women. When death is expected, nurses continue to relay information, provide prenatal care, and coordinate supportive services even after an infant has died. Close collaboration among nursing and psychosocial team members ensured that obstetric management was well coordinated. Specific strategies on the vital role nurses played with this case and the partnership with the psychosocial team will be shared. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Joanna C. M. Cole, Tyra Jones, Elizabeth Shaughnessy, Sara Chadwick, Dave Munson, Julie Moldenhauer Tags: Childbearing Source Type: research

Severe Pancreatitis Exacerbation in a Perinatal Patient with Severe Preeclampsia
ConclusionPancreatitis is an inflammatory state that can cause respiratory failure, renal failure, and cardiac complications due to the pancreatic enzymes being released into the circulation. Treatment is to alleviate the inflammation and symptoms. Perinatal nurses need to know that a more typically seen condition in pregnancy‐gallbladder disease can precipitate pancreatitis.Two points that stood out in this scenario were the insistence on stabilization of the woman prior to cesarean, which is always recommended in the literature but not always practiced. Second, magnesium sulfate was restarted because of an earnest atte...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Sheryl Banner, Donna Schofield Tags: Childbearing Source Type: research

A Case Study of Oral Cancer Related to Human Papilloma Virus
ConclusionSymptoms of HPV‐related oropharyngeal cancer are elusive and make early diagnosis challenging. Although rare, the transmission and eventual development of HPV‐related oropharyngeal cancer is a valid concern for intimate partners. Providing education for nurses can increase awareness in women about the possibility of developing this disease and may lead to early detection and treatment. Increased awareness of the relationship between HPV and oropharyngeal cancer can also influence the choice for HPV vaccination. (Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing)
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Rose M. Scaffidi, Cheryle Eisele Tags: Women's Health Source Type: research