Ch. 24 Gyno & 34 OB/Neonatal care up

gestational hypertension

Pregnant female with systolic 140 or Diastolic 90 or higher

-Becomes severe when Systolic > 160 or Diastolic > 110

Supine hypotensive syndrome

How to prevent

Hypotension due to compression of vena cava by baby

-Lay patient on left side

Labor delivery if umbilical cord is around neck

Slip cord gently over head & if not possible cut it

-place 2 clamps 2 inch apart & cut in between, speed up delivery cause O2 supply has been cut

Assessing newborn

1) Check RR & ventilate via bvm if needed

2) check pulse is at least 100 bpm if not ventilate via BVM w/out O2.

-Reassess pulse & RR every 30 sec

3) Check Spo2 on right wrist, if Spo2 does not improve or central cyanosis is present administer blow-by O2 at 5L/min