Trauma in Pregnancy

Course overview

Objectives Explain how the management of your patient may or may not differ if she is pregnant Describe physiological changes that occur during pregnancy and how they may affect patient outcomes following a traumatic event Content Information Covered Introduction Anatomy and physiology review of the female reproductive system Uterus Cervix Ovaries Vagina Breasts Female reproductive cycle Female hormones Estrogen Progesterone Prostaglandins Neurohormonal basis Ovarian cycle Menstrual cycle Cultural values affecting pregnancy Special considerations of adolescent pregnancy Physiology Normal anatomical physiological and psychological changes in pregnancy Reproductive system Respiratory system Cardiovascular system Gastrointestinal system Urinary tract Skin hair and eyes Musculoskeletal system Metabolism Endocrine Psychological Identify normal events of pregnancy Conception and fetal development Development and functions of the placenta General system physiology assessment and management of the obstetrical patient Premonitory signs of labor Lightening Braxton Hicks Cervical changes Bloody show Rupture of membranes Other Stages of labor and delivery First stage Second stage Third stage Maternal response to labor Fetal response to labor Assessment of the pregnant patient Airway breathing circulation Initial assessment SAMPLE history Vital signs Obstetrical history Physical examination Evaluating gestational age Fetal movement Fetal heart tones Deep tendon reflexes Inspect for crowning Management of a normal delivery obstetrical patient Treatment modalities Oxygen Non pharmacological intervention Pharmacological interventions Postpartum care Assessment of fundus Quality of lochia Signs of hemorrhage Complications related to pregnancy Abuse Substance abuse Supine hypotensive disorder Diabetes mellitus Various cardiac disorders Bleeding related to pregnancy pathophysiology assessment complications management Abortion Elective abortion Spontaneous abortion Threatened Imminent Complete Incomplete Missed Habitual Septic Ectopic pregnancy Placental problems pathophysiology assessment management Placental abruption Placenta previa Hyperemesis gravidarum Pathophysiology Assessment Management Hypertensive disorders pathophysiology assessment management Pregnancy induced hypertension Preeclampsia Eclampsia Rh sensitization High risk pregnancy pathophysiology assessment complications management Precipitous labor and birth Post term pregnancy Meconium staining Fetal macrosomia Multiple gestation Intrauterine fetal death Amniotic fluid embolism Hydramnios Cephalopelvic disproportion Complications of labor pathophysiology assessment complications management Premature rupture of membranes Preterm labor Uterine rupture Fetal distress Complications of delivery pathophysiology assessment complications management Cephalic presentation Breech Shoulder dystocia Nuchal cord Prolapse of cord Management Postpartum care