RESUMO
Preeclampsia (PE) is the most common complication of pregnancy. PE is a multisystem disorder that can result in maternal morbidity and mortality. A severe complication of PE is the HELLP syndrome. HELLP syndrome is a pregnancy-associated liver disease characterized by the presence of hemolysis (H), elevated liver enzymes, and low platelet count. Management of HELLP syndrome includes monitoring of obstetric complications, controlling hypertension, seizure prevention, and planning for delivery. Also, postpartum care of the mother and the newborn should focus on physiologic and emotional wellbeing.
Assuntos
Eclampsia , Síndrome HELLP , Hipertensão , Pré-Eclâmpsia , Feminino , Síndrome HELLP/diagnóstico , Síndrome HELLP/terapia , Humanos , Recém-Nascido , GravidezRESUMO
With the frequency of infant deaths in the United States, many attributed to congenital malformations and prematurity, the neonatal intensive care unit (NICU) nurse must be adept at planning and providing perinatal palliative care. The NICU nurse requires education and training to proficiently contribute to the care planning and delivery of care and facilitate memory-making activities. The provision of perinatal palliative care may precipitate moral distress and needs to be addressed with education and resilience-fostering activities. To further perinatal palliative care effectiveness, research needs to be conducted.
Assuntos
Enfermagem de Cuidados Paliativos na Terminalidade da Vida , Doenças do Recém-Nascido , Criança , Feminino , Humanos , Lactente , Recém-Nascido , Unidades de Terapia Intensiva Neonatal , Cuidados Paliativos , Assistência Perinatal , GravidezRESUMO
The quality of maternal care in the United States is receiving increased attention due to rising rates of severe maternal morbidity and maternal mortality when compared with other developed countries. Many of these events are considered preventable. The lack of adoption of evidence-based maternal patient safety bundles and tool kits requires immediate attention. Maternal levels of care described by the American Congress of Obstetricians and Gynecologists requires increased focus so that women are in the appropriate facility to receive care. Perinatal care management, integrated behavioral health, and preconception care should be considered a preferred methodology to achieve optimal maternal outcomes.
