Margaret Case Study: Sudden Change In Medical Status
Renee A. McIver
Margaret Case Study
OB--Summer Semester 2016
In Margaret’s Case Study (3) possible causes for her sudden change in medical status could have been due to spontaneous rupture of membranes (SROM), anaphylactic reaction and acute hypotension. SROM is defined rupture of the fetal membranes on their own. This is often referred to by mother’s a “my water broke.” Anaphylactic reactions have a rapid onset and may cause death. Signs and symptoms include shortness of breath and hypotension which normally occur within minutes of the onset of the reaction. In AFE, it is believed that a breakdown in the placental barrier initiates the onset of an anaphylactic reaction. Due to the placental breakdown the immune system reacts by the release of antibodies that will start an inflammatory reaction. This response then triggers DIC which is a deadly blood-clotting disorder. Acute …show more content…
Birthing centers are designed to provide care for low-risk expecting mothers with a single-term pregnancies who are in a vertex presentation. These mothers have also been previously identified by their provider to deliver without any complications. All births at the birthing center will be managed by two or more OB/GYN professionals. Level I-maternal care facilities have all the capabilities of a birthing center as well as additional resources available in the event that complications arise during the birthing process. Medical staff will be able perform a C-section, administer blood products, draw labs and order ultrasounds. Additionally, they have the capabilities to initiate patient transfers to higher-level maternal care facilities if there is no improvement in the patient’s medical status. Level II encompasses all
Margaret Case Study
OB--Summer Semester 2016
In Margaret’s Case Study (3) possible causes for her sudden change in medical status could have been due to spontaneous rupture of membranes (SROM), anaphylactic reaction and acute hypotension. SROM is defined rupture of the fetal membranes on their own. This is often referred to by mother’s a “my water broke.” Anaphylactic reactions have a rapid onset and may cause death. Signs and symptoms include shortness of breath and hypotension which normally occur within minutes of the onset of the reaction. In AFE, it is believed that a breakdown in the placental barrier initiates the onset of an anaphylactic reaction. Due to the placental breakdown the immune system reacts by the release of antibodies that will start an inflammatory reaction. This response then triggers DIC which is a deadly blood-clotting disorder. Acute …show more content…
Birthing centers are designed to provide care for low-risk expecting mothers with a single-term pregnancies who are in a vertex presentation. These mothers have also been previously identified by their provider to deliver without any complications. All births at the birthing center will be managed by two or more OB/GYN professionals. Level I-maternal care facilities have all the capabilities of a birthing center as well as additional resources available in the event that complications arise during the birthing process. Medical staff will be able perform a C-section, administer blood products, draw labs and order ultrasounds. Additionally, they have the capabilities to initiate patient transfers to higher-level maternal care facilities if there is no improvement in the patient’s medical status. Level II encompasses all