Page 193 - Critical Maternity & Newborn Health Nursing
P. 193

•  Lower and turn head to one side to keep air way open and decrease

                          risk of aspiration

                       •  Call for help

                       •  Protect patient from injury by using side rails

                       •  Administer O2 to increase fetal oxygenation

                       •  Notify physician at the first sign of convulsive activity



                   After the seizure :



                       •  Check Bl. pressure and fetal heart rate


                       •  Assess urine for Protein

                       •  Assess signs, which may indicate the start of labour

                       •  Start an IV line as soon as possible and monitor it

                       •  Notify attending physician

                   2. Intrapartum intervention



                   Indication of delivery:-



                       •  Delivery is indicated for the following reasons :-


                       •  Deterioration of fetal well-being

                       •  In effective treatment in improving the disease

                       •  Eclampsia or its warning signs


                   Route of delivery:-


                       •  Vaginal delivery

                          C.S if → Labor not begin after induction


                                 → Vaginal delivery is contra indicated


                                 → The fetus weights less than 1500g.



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