Page 194 - Critical Maternity & Newborn Health Nursing
P. 194
Nursing intervention: -
Ante partum care should be continued throughout the intra partum
period
o If oxytocin is used it must be assessed frequently because the
uterus may be more sensitive to oxytocin than usual
o Monitor the progress of labour because the pt. may not be
aware of it
o Monitor the fetal state closely because magnesium sulfate
crosses the placenta readily and this lead to decrease beat to
beat variability.
o Psychological support provided decrease patient anxiety.
Analgesia and anesthesia :-
o Limit the analgesia during labour to small doses
o If the fetus is premature it should be avoided
o Local infiltration or epidural anesthesia is the best of choice
to improve the uteroplacental Bl. flow
o General anesthesia can used if C.S is required
3. Post partum intervention
• If the pt. has been received anti-convulsant it should be continued
for 24 to 48 hours or longer
• Monitor the vital signs especially Bl. pressure
• Provide diuresis to decrease magnesium sulfate level
• Monitor the Bl. loss very closely
• Psychological support especially if the baby transferred to ICN
• Inform the mother about the effect of magnesium sulfate on her baby
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