Introduction A pregnant woman may have special tests during pregnancy to make sure that her developing baby (fetus) is healthy. These tests are called fetal monitoring. A contraction stress test, also called an oxytocin challenge test, is one type of fetal monitoring. This test is used to check the baby's heart rate when the womb (uterus) contracts. A health care provider may do this test to see how well the baby will tolerate labor and delivery. A woman may also have a contraction stress test if other fetal monitoring tests suggest that the baby may be at risk during labor and delivery. Uterine contractions happen naturally when you go into labor. During this test, a health care provider will stimulate your uterus to cause contractions. If
rate and other things in the body to see how stressed or stress relieved they became. The test
Eva is a 32yo, G5 P4004, who is reportedly 15 weeks as dated by LMP of 11/26/16. She is obese with a BMI of 38. She os otherwise healthy. She is currently being treated for a UTI. She has 4 prior full-term deliveries, all without complications. She is here today for her anatomic survey.
She grabs her stomach and starts to bend at the knees, reaching for something to hold on to. In the active phase, the laboring mom is given pain meds (if desired), which causes side effects (dizziness,hypotension, etc) again, another risk for injury and or falls (Gulanick/Myers). The laboring mom will also experince some kind of sensory impairment especially weakness when she has been pushing for so long. Going to stand for the first time not realizing just how weak the legs and knees are.
The stern figures of the global burden of pregnancy-related deaths are now so well known. Every year, approximately eight million women suffer pregnancy-related complications 289 000 women die due to complications in pregnancy and childbirth, and 6.6 mil¬lion children below 5 years of age die of complications in the newborn period and of common childhood diseases. Worldwide, the majority of maternal and newborns deaths occur around the time of birth, typically within the first 24 hours after childbirth. In developing countries, one woman in 16 may die due to pregnancy-related complications compared to one in 2800 in developed countries. Many of these maternal and neonatal deaths more than 80% of could be prevented or avoided through actions
A stress test. This is a test to monitor your heart's activity while you exercise.
Stress tests. In these tests your heartbeat will be recorded while you exercise or after you take a medicine that makes the heart beat faster.
MRI has been increasingly used for detailed imagining of the fetus in utero as well as pregnancy structures (Saleem, 2014).However, fetal MRI study may give limited diagnostic information in early gestational age due to the small size of the fetus and fetal movement (Saleem, 2014). Fetal MRI needs to use fast sequences due to moving fetus. Single-shot fast spin-echo (SSFSE) T2-weighted imaging is a basic sequence to visualized fetal structures such as the brain and vessels (Saleem 2014). T1-weighted sequences are mainly used to determine fat, calcification and hemorrhage. Some advanced imaging could be used to gain more information about brain malfunction such as; Diffusion weighted imaging (DWI), diffusion tensor imaging
The above is a letter to a friend who is in need of an intervention. She feels as though a weekly girl’s night complete with cocktails and continuing to smoke would not affect her baby. Conventional medicine and science teaches us that smoking and drinking while pregnant is detrimental to fetal development and growth. It was my job to convince her to give up smoking and drinking while pregnant. It is a job that I was more than successful at completing. But now we must ask ourselves why in the year 2015 are people still uneducated about maternal and fetal health. What steps must we take as a society in order to change this destructive line of thinking?
In many U.S. hospitals today the patient care that women receive during management of labor and delivery doesn’t look very evidenced based. Electronic fetal heart rate monitoring (EFM) is the most common form of intrapartal fetal assessment in the United States. We continue to see widespread use of EFM in low risk pregnancies. Electronic fetal monitoring is standard procedure despite numerous randomized controlled trials that have disproven its validity. It is routinely used, yet does not decrease neonatal morbidity or mortality compared to the use of intermittent auscultation. Intermittent auscultation of the fetal heart rate is an acceptable option for low-risk laboring women, yet it is underutilized in the hospital setting. Several expert organizations have proposed the use of intermittent auscultation as a means of promoting physiologic childbirth. So why do we use continuous EFM in the low risk pregnancy and what does the best evidence support and how can nurses apply the best available evidence to practice? As a patient advocate it is the nurses responsibility to answer these questions and provide the low-risk pregnant woman with current evidence about options for fetal heart rate assessment during labor.
There are numerous external factors that occur during pregnancy that have a huge influence on the effect of fetal growth. During gestational development, a critical period is a time in which a baby’s vital organ systems are formed. This is considered to be a vital developmental stage for a fetus, and a time in which the fetus is most vulnerable to acquiring deformities caused by external factors, known as teratogens (Potter, Perry, Hall, & Stockert, 2017, p. 141). Some common examples of teratogens are alcohol, tobacco, medications, chemicals, viruses, and conditions like high blood pressure and diabetes. Other factors that may influence fetal growth include vitamin intake and mother’s age.
There is a difference between reaction time of DHH and NH adolescents with respect to the identification of shapes, viz, circle, square, rectangle and semicircle. DHH adolescents required less reaction time for shapes identification than NH adolescents. Haptic (tactile) memory of DHH is better than NH adolescents.
Your prenatal care begins with your OB/GYN obtaining your full health history. Your basic vital signs, such as blood pressure and weight, will be taken. Your OB/GYN will then perform a full pelvic exam, a pap smear, screening lab work, and an ultrasound. This can help to confirm your pregnancy and determine your due date. Progesterone levels will be checked and monitored and treated if need be.
As I was reading Prenatal Maternal Speech Influences Newborns’ Perception of Speech Sounds I became interested in the hypothesis that states “newborns auditory preferences are influenced by prenatal experience with their mothers’ speech and heartbeats” which makes a lot of sense. We grow and develop in our mother’s womb and studies show that we prefer our mother’s voices to other females and males. This experiment was pretty interesting, but also a bit confusing at the same time. I wasn’t aware of how much goes into a simple experiment like this one. One of the parts of the experiment that I found the most interesting is that hearing for the fetus’s develop in the third trimester of a pregnancy, at the end of this study it was determined that
My assignment for today clinical is to observe a live birth of one of the patients at Family Birthing Center at Manchester Memorial Hospital. She is 39 + 0 weeks gestational, admitted to the hospital on 7/27 because she is having contractions. She is gestation diabetes, G5P1031, therefore she is a high risk pregnancy. Her first son was born with an omphalocele.
It has been shown through studies that exercising aids in strength, flexibility, muscle tone and endurance, all in which help in areas such as carrying extra weight, preparing for the physical stresses of labor and contributing in shedding the pounds postpartum (Gulino 2). Exercise also helps in relieving that excess weight gain, swelling, varicose veins, fatigue and leg cramps. It helps to prevent depression and establish confidence both before and after labor. Exercise lowers stress and improves emotional health. It has been shown through studies that women who exercise during pregnancy have shorter labors as well as a decreased need for painkillers and an epidural during labor and delivery (Hudson 1).