By Michael A. Belfort MBBCH MD PhD, George R. Saade MD, Michael R. Foley MD, Jeffrey P. Phelan MD JD, Gary A. Dildy III MD
Serious Care Obstetrics presents specialist medical counsel all through on how one can maximize the probabilities of your sufferer and her child surviving trauma.In this stimulating textual content, across the world well-known specialists advisor you thru the main hard events you as an obstetrician are inclined to face, allowing you to skillfully:Recognize stipulations early-on which would turn out existence threateningImplement rapid life-saving remedies in emergency situationsMaximize the survival clients of either the mummy and her fetusThe 5th version of this well known publication can assist you retain your composure in excessive possibility medical occasions, making it a useful source for any surgeon chargeable for the care and administration of pregnant girls and their unborn teenagers.
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Extra resources for Critical Care Obstetrics 5th Edition
Although useful in non-pregnant women, cardiac index is less useful in pregnant women because the normal correlation between cardiac output and body surface area is lost in pregnancy . This may be explained, in part, by the observation that the du Bois and du Bois  body surface area nomogram widely used to calculate cardiac index is based on nine non-gravid subjects and, as such may not apply to pregnant women. Linhard  was the first to report a 50% increase in cardiac output during pregnancy using the indirect Fick method.
Equipment for invasive hemodynamic and oxygen transport monitoring had been assembled, prepared, and available at the bedside. In addition, necessary equipment and resources for delivery and immediate care of the baby were made available in the patient’s room. The charge nurse in labor and delivery kept neonatal nursing and medical personnel updated on the patient’s progress on a regular basis. Approximately 5 hours after initiation of the oxytocin infusion, nursing assessment of maternal status revealed diminished urinary output for 2 consecutive hours.
Nursing diagnoses, based upon interpretation of these assessment findings, included decreased cardiac output, impaired gas exchange, impaired maternal and fetal oxygen transport, activity intolerance related to inadequate oxygen reserve, and anxiety. Desired outcomes included optimization of cardiac output, maternal and fetal oxygen transport and gas exchange, optimization of oxygen reserve, and reduction in the level of patient anxiety. To develop a plan of care, the CCOB physician was contacted and the assessment findings and nursing diagnoses were discussed.
Critical Care Obstetrics 5th Edition by Michael A. Belfort MBBCH MD PhD, George R. Saade MD, Michael R. Foley MD, Jeffrey P. Phelan MD JD, Gary A. Dildy III MD