摘要:

ABSTRACTTrends in the management of the postdate pregnancy are reviewed. An updated approach to management of the postdate pregnancy is presented. A range of research from descriptive studies to prospective, randomized clinical trials for the pregnancy exceeding term is referenced for the clinician who seeks the rationale behind current protocol for management of the pregnancy beyond 42 weeks.

ISSN:0091-2182    

DOI:10.1016/0091-2182(94)90069-8

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

ABSTRACTSevere hemorrhage occurs in less than 1% of all pregnancies; however, it remains one of the important causes of maternal morbidity and mortality. Although the importance of hemorrhage has been recognized in obstetric circles for years, in the last decade or so, research has been conducted that has disproven long‐held beliefs, Nurse‐midwives must be knowledgeable about the etiology, management, and treatment of postpartum hemorrhage. This article presents an overview of postpartum hemorrhage and its pharmacologic and nurse‐midwifery management. The overview includes definitions of postpartum hemorrhage, identifies risk factors for hemorrhage, and addresses problems associated with estimation of blood loss. The mechanisms of action of ergots, oxytocin, and prostaglandins are described, and criteria for selecting a medication are presented. Herbal remedies for hemorrhage are discussed briefly. Also discussed are the optimal time for drawing the hematocrit and what this laboratory value can tell the nurse‐

ISSN:0091-2182    

DOI:10.1016/0091-2182(94)90070-1

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY