Authors conclusions simple maternal hydration iv hypotonic fluid 2 lit appears to increase amniotic fluid volume and may be beneficial in the management of oligohydramnios and prevention of oligohydramnios during labour or prior to external cephalic version. Cancer study group trials between 1978 and 1999, the rate of nodenegativity for medial compared to lateralcentral tumors was 44 versus 33 percent, respectively. Pdf polyhydramnios complicates about 1% of all pregnancies. Monitor maternal weight gain pattern, notifying the health care provider if weight loss occurs. It has been associated with an increased risk of various adverse pregnancy outcomes, including preterm birth, placental abruption, and fetal anomalies. Maternal bed rest and hydration promote the production of amniotic fluid by increasing the maternal. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. Nurse a tells nurse m yes, she has some advil in a brown bottle in her purse in. Nurse m asked nurse a if she had any medication for a headache. Pregnancy had been complicated by substantial polyhydramnios. This article describes the clinical course of a recipient twin in a case of ttts. The most likely explanation for this difference is preferential drainage of some medial tumors to the im nodes. Solved evidence of hydrocephaly, polyhydramnios and. Case study ppt of polyhydramnios free download as powerpoint presentation.
The college application essay pdf write an study about environmental degradation nestle culture research paperresearch case on quantum computers. The study group was composed of 477 women with polyhydramnios, while 900 women with normal amniotic fluid levels formed the control group, which was selected randomly. Your learning guide should give you information about how to structure your case study assignment. Polyhydramnios and oligohyramnios free download as powerpoint presentation. Thrombectomy achieved tici iii recanalization figure 5. It is also called amniotic fluid disorder, or hydramnios. Nov 18, 2017 polyhydramnios polehidramneeos is the excessive accumulation of amniotic fluid the fluid that surrounds the baby in the uterus during pregnancy. Polyhydramnios uf health, university of florida health. This study was conducted to determine its frequency, common causes and the perinatal outcome. We describe a case of extreme primary pulmonary hypoplasia. Although disciplinary action taken by kbn is a matter of public record, the identity of the nurses are not revealed. There are two clinical varieties of polyhydramnios. Diabetes case studies post partum higher risk patient janine is a 32 year old with type 1 dm, poorly controlled with nph and lispro.
Presenting a case of acute polyhydramnios with a large chorioangioma diagnosed antenatally on ultrasound. It is typically diagnosed when the amniotic fluid index afi is. She is a registered nurse since 2015 and is currently working in a regional tertiary hospital and is finishing her masters in nursing this june. Th e following case study is structured according to the events of the preg. Evidence of hydrocephaly, polyhydramnios and clubbed feet are noted on the ultrasound. Scribd is the worlds largest social reading and publishing site.
As an outpatient department nurse, she is a seasoned nurse in providing health teachings to her patients making her also an excellent study guide writer for student nurses. Case study for oligohydramnios free download as word doc. Diabetes case studies labor and delivery higher risk. Polyhydramnios nursing diagnosis doctor answers on. Discharge planning introduction polyhydramnios polyhydramnion, hydramnios, polyhydramnios is a medical condition describing an excess of amniotic fluid in the amniotic sac. Characteristics of anencephaly occurrence sonographic findings patient history case images causes risks theory acrania anencephaly. On the other hand, it is really hard to clear out the cause in majority of the cases. Conservative management of oligohydramnios is described. There are only very few prospective studies and most information which is available is from retrospective studies. Do not assume the patient featured in the case was cared for by the instructor or at the facility at which the instructor is employed. The case fatality rate and perinatal mortality associated with afe are 30% and 944%, respectively. Ntroduction delivery room rotation, is all about the goal of the student nurses to provide a safe and supportive environment for the mother and the baby during delivery. Maternal and fetal outcomes in pregnant women with.
A case study of recipient twin surviving complications of. Strategic management case study on swissbased nestle paper. Anatomically polyhydramnios is defined as a state where liquor amnii exceeds 2000 ml. A social worker was involved in this case to help the parents locate useful resources to ease their stress and assist with coping. Polyhydramnios occurs in about 1 to 2 percent of pregnancies. It is characterized by congenital absence of the major portion of brain, skull and scalp. No other congenital anomalies and none of the conditions known to be associated with pulmonary hypoplasia were present. Sep 20, 2017 in cases of polyhydramnios in which maternal diabetes is suspected, perform a glucose tolerance test. Many of the nursing staff became very close to the parents and offered support to them during their daily visits. Case study is a research methodology, typically seen in social and life sciences. Clinical definition statesthe excessive accumulation of liquor amnii causing discomfort to the patient andor when an imaging help is needed to substantiate the clinical diagnosis of the lie and presentation of the fetus.
Polyhydramnios as a predictor of adverse pregnancy outcomes. Polyhydramnios and oligohydramnios clinical presentation. Outcomes from polyhydramnios with normal ultrasound enav yefet, md, phda etty danielspiegel, md a,b objective. Polyhydramnios is the term used to describe an excess accumulation of amniotic fluid. Sudden pregnancy complications for all your nursing needs. Polyhydramnios and oligohyramnios congenital disorder fetus. Thursday, january 5, 2017 definition of oligohydramnios oligohydramnios is a condition where the amniotic fluid less. Case study ppt of polyhydramnios nonsteroidal anti.
Common causes of polyhydramnios include gestational diabetes, fetal anomalies with disturbed fetal swallowing of amniotic fluid, fetal infections and other, rarer causes. To determine the risk factors associated with polyhydramnios, and assess the maternal and perinatal outcome in these patients. Polyhydramnios occurs when too much amniotic fluid builds up during pregnancy. Monitor maternal and fetal status closely, including vital signs and fetal heart rate patterns. All information expressed here are courtesies of the respective authors. Th e increase in morbidity and mortality is related to the potential birth of a premature baby of less than 26 weeks gestation. Mode of delivery among women admitted with polyhydramnios. Case solutions for winninghams critical thinking cases in nursing 5th edition by harding.
Maternal health nursing exam study notes nursing manthra. The hypoplasia was due to a marked deficiency of the. Polyhydramnios is a medical condition describing an excess of amniotic fluid in the amniotic sac. Gestational diabetes is abnormal carbohydrate, fat, and protein metabolism that is first diagnosed during pregnancy, regardless of the severity. Diabetes case studies labor and delivery higher risk patient janine is a 32 year old with type 1 dm, poorly controlled with nph and lispro. A prospective study of all deliveries complicated with polyhydramnios in sultan qaboos university hospital, sultanate of. Nursing case studies has been developed to assist professional nurse educators in their everyday responsibilities of teaching, mentoring and maintaining the best in critical thinking, patient care and. Gestational diabetes mellitus case study facts about insulin. As with all surgical procedures, there are some risks associated with.
View and download powerpoint presentations on oligohydramnios ppt. Since exact etiology of idiopathic polyhydramnios is still unclear, many studies have been conducted to clarify the actual mechanisms of the regulation of amniotic fluid and even molecular interactions that are involved within regulation. The placenta was normal in all cases in the current study. Polyhydramnios is usually defined as an afi of more than 24 cm or a single pocket of fluid at least 8 cm in depth that results in an amniotic fluid volume of more than 2000 ml. Nov 25, 2017 close monitoring by efm rupture the membranes in active phase of labor amnioinfusion in case of meconium staining if fhr abnormality.
Nursing case studies is nurse inspired and is nurse driven. Sep 20, 2017 in twin gestation with twintotwin transfusion, polyhydramnios may occur in the recipient twin, and oligohydramnios may occur in the donor. A deficiency in the amount of amniotic fluid in the gestational sac during pregnancy is called oligohydramnios. Components of this case were chosen based on their applicability to achieve learning objectives for this presentation. Current pregnancy g 2 p 2 at 37 weeks history of present illness. Polyhydramnios is defined as a pathological increase of amniotic fluid volume in pregnancy and is associated with increased perinatal morbidity and mortality.
Over distension of uterus polyhydramnios free download as powerpoint presentation. The amniotic fluid protects and aids in the development of the baby but excessive amount of this may lead to complications such as premature birth, death of. Polyhydramnios should be suspected clinically when uterine size is large for gestational age. Patient w as booked with a senior obstetrician in a private nursing home. Idiopathic polyhydramnios appears to increase the risk of prolonged first stage of labour, nonvertex presentation, and cesarean. In writing the case study, care should be taken to provide the rich information in a digestible manner. Nestle case study harvard strategy is deciding what not to do. Patient taken for angio where right m1 cutoff was confirmed figure 4. Dfmc left lateral position fhr monitoring administration of fluids anti d after amnioinfusion sos close monitoring during labour 26. Gestational diabetes mellitus case study nursing journal. It was a crosssectional study conducted in gynae b unit, women and children hospital abbottabad, conducted from january to december 2001. Chorioangioma of the placenta is a rare cause of polyhydramnios which may be associated with adverse foetal outcome. Patient discharged to a subacute nursing facility for rehab with nihss 2. The parents are offered the option of prenatal genetic testing, which they decline.
This is a community of professional nurses gifted with literary skills who share theoretical and clinical knowledge, nursing tidbits, facts, statistics, healthcare information, news, disease data, care plans, drugs and anything under the umbrella of nursing. Since we started in 2010, nurseslabs has become one of the most trusted nursing sites helping thousands of aspiring nurses achieve their goals. Find powerpoint presentations and slides using the power of, find free presentations research about oligohydramnios ppt. Thankfully this community blesses you with the right information and tools to get through the inevitable tough times and the joy of having people who are in. The cysts resolved, but idiopathic polyhydramnios was noted.
1 however, very simply a case study can be defined as an intensive study about a person, a group of people or a unit, which is aimed to generalize over several. A case study on polyhydramnios executive summary inside the delivery room, a pregnant patient is admitted and found out to have excessive accumulation of amniotic fluid in her uterine cavity. Outcomes from polyhydramnios with normal ultrasound. Case studies have been viewed in the evaluation and research fields as less rigorous than surveys or other methods. For example, you may be asked to focus on certain questions about the case and organise your writing around those questions see nursing example in case study purpose pdf, 68 kb. It should be less than or equal to 5 please consult gynaecologist it could be a case of polyhydramnios please hit thanks. Included in the study were women at 28 or more weeks gestation with confirmed polyhydramnios in singleton pregnancies who had been diagnosed by ultrasound examination.
A prospective study of all deliveries complicated with polyhydramnios. Polyhydramnios, indomethacin, amnioreduction maternal and fetal outcomes in pregnant women with. Case studies for nursing students nursing case studies. To investigate the short and longterm outcomes of children from pregnancies abstract complicated with polyhydramnios, defined as amniotic fluid index afi 24 cm, and with a normal detailed ultrasound examination.
Abstracta retrospective matched case control study was conducted to examine the incidence of caesarean delivery cd among women admitted with polyhydramnios with and without a trial of labour compared to women with normal amniotic fluid index afi. Fasting glucose is normal and the diabetes is controlled by diet a1. A healthy pregnant 29yearold multipara woman, married to a healthy 45yearold man, presents for her 18 weeks ultrasound. According to one study group, afi values between 8. A case involving oligohydramnios diagnosed prior to term is presented and discussed.
To locate the causative factorsand neonatal outcome in polyhydramnios. The case studies listed below are actual cases that have come before the board. Polyhydramnios also known as hydramnios refers to an excessive volume of amniotic fluid. Most cases of polyhydramnios are mild and result from a gradual buildup of amniotic fluid during the second half of pregnancy. Case a 23yearold woman was found to have a fetus with bilateral choroid plexus cysts during a secondtrimester ultrasound examination. Oligohydramnios nursing care plan nursing care plan. In case of maternal distress, amnioreduction was along with good outcome. Th e severity of ttts at initial diagnosis is staged according to the fi ve stages. If the test results are positive, treat the mother with an american diabetes association ada diet. This clinical condition is associated with a high riskof poor. A careful antenatal ultrasound with colour doppler can easily diagnose the condition.
Gestational diabetes characterized by an abnormal glucose tolerance test gtt without other symptoms. Polyhydramnios is an important obstetric complication. Table of contents neural tube formation what is anencephaly. Anencephaly daniel enriquez medical sonography student. Color doppler evaluation and placental thickness were not accompanied with good results. Nursing care for oligohydramnios omics international. Case 8 continued alteplase iv rtpa given with a doortoneedle time of 23 minutes, 66 minutes after symptom onset. It is typically diagnosed when the amniotic fluid index afi is greater than 24 cm. She delivered yesterday after an oxytocin induction for rising blood pressures. Study ttts that develops before 26 weeks of gestation can increase morbidity and mortality bebbington, 2010. Knowing the facts about insulin facilitates the understanding of gestational diabetes mellitus.
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