MATERNAL (RH SENSITIZATION)

PLACENTA ACCRETA

is an uncommon condition in which the chorionic villa adheres to the myometrium

PLACENTA ACCRETA

the placental chorionic villi adheres to the superficial layer of the uterine myometrium

PLACENTA INCRETA

the placental chorionic villi invade deeply into the uterine myometrium

PLACENTA PERCRETA

- the placental chorionic villi grow through the uterine myometrium and often adhere to abdominal structures (eg, bladder or intestine).

PLACENTA ACCRETA

Implantation in an area of defective endometrium with no zone separation between the placenta and the myometrium.

DECIDUA

placenta attaches to the uterus until laber, when it separates with the help of contractions

HYSTERECTOMY

removal of the uterus

RH SENSITIZATION

If blood mixes with Rhpositive blood, the immune system will react to the Rh factor by making antibodies to destroy it. This immune system response is called ________________

RH SENSITIZATION

during pregnancy can only happen if a woman has Rh-negative blood and only if her baby has Rh-positive blood.

RH DISEASE

if the mother gets pregnant again with an Rhpositive baby, the AB already in the mothers blood could attack the baby's RBC. This can cause the baby to have anemia, jaundice, or more serious problems called __________________

FETAL BLOOD SAMPLING (CORDOSENTESIS)

done to assess fetus's health & used on a limited basis, usually for monitoring known sensitization problems (as when a mother has had previous fetal deaths, or when other testing has shown signs of fetal distress).

FETAL DOPPLER UTZ

to check blood flow to the baby's brain. This can show anemia and how severe it is (can give the same anemia information as amniocentesis, without the risks)

AMNIOCENTESIS (AFTER 15 WEEKS)

done to check AF for signs of fetal problems or to learn the fetus's blood type and Rh factor.

ELECTRONIC FETAL HEART MONITORING

done in the third trimester to check fetus's condition. Unusual FHR detected during a NST may be a sign that the fetus has anemia related to the sensitization.

DIRECT COOMBS TEST

looks for AB (antibodies) that are stuck to RBC

INDIRECT COOMBS TEST

looks for AB floating in the liquid part of the blood, called serum.

COOMBS TEST

A test to determine whether a woman has Rh-positive or Rh-negative blood (Rh antibody titre) & is done early in pregnancy (periodically during pregnancy to see if mothers Rhpositive AB levels are increasing). This is the typical course of treatment for most sensitized women during pregnancy

RH IMMUNE GLOBULIN (WINRHO)

This prevents Rh sensitization in nearly all women who use it.

PHOTOTHERAPY

treatment if with increased bilirubin levels in the blood

JAUNDICE

Lysis of RBC's à byproduct bilirubin

PREECLAMPSIA

- is a hypertensive disorder of pregnancy developing after 20 weeks' gestation and characterized by edema, hypertension, and proteinuria

ECLAMPSIA

- is an extension of preeclampsia and is characterized by the client experiencing seizures.

PREECLAMPSIA

is a multisystem, vasospatic disease process characterized by hemoconcentration, hypertension, and proteinuria.

MAGNESIUM SULFATE

- Bronchodilating effects that prevents seizures / lowers BP
- Delivered via infusion pump (infuse slowly) or IVP to the mainline IVF before, during labor and 24H post delivery

1. SHARP DROP OF BP
2. RESPIRATORY PARALYSIS
3. DISAPPEARANCE OF PATELLAR REFLEX

Magnesium Toxicity based on Clinical Signs

POLYHYDRAMNIOS

more than 2L of Amniotic Fluid (Excessive AF)

ESOPHAGEAL ATRESIA

fetus cannot swallow amniotic fluid.

OLIGOHYDRAMNIOS

less than 500 mL of AF

AMPUTATION

due to adhesion of fetal parts to the amnion

STILLBIRTH

- the death or loss of a baby before or during delivery

500-1000 ML

normal value of amniotic fluid

TYPE O

Universal Donor

TYPE AB

Universal Recipient

HYPERREFLEXIA

overactive or overresponsive bodily reflexes

ABSENCE SEIZURES

sometimes called petit mal seizures, can cause rapid blinking or a few seconds of staring into space

TONIC-CLONIC SEIZURES

also called grand mal seizure

TONIC

Muscles in the body become stiff.

ATONIC

Muscles in the body relax.

MYOCLONIC

Short jerking in parts of the body.

CLONIC

Periods of shaking or jerking parts on the body

1-3 minutes

how long does normal seizure usually lasts