Hello, this is my first care plan for OB and I'm kind of stuck
Patient 46 yo gravida 15 para 10. 39 weeks gestational. She is orthodox jewish. She didn't have any complications during her pregnancy except 3+ pedal edema which is pretty normal.. Didn't have any gestational diabetes or anything of that sort..
I was thinking of doing her dx on her age of 46.
But I'm completely lost!
Im not asking you to write my care plan, I'm just asking for any ideas?
Actually, grand multip (regardless of c/s status) does prompt the conclusion that she is at risk for uterine rupture. Multiparity (especially grand multiparity) is one of the common risk factors in (non-scarred, ie: no previous c/s or other uterine surgery) intrapartum rupture. (see http://www.sciencedirect.com/science/article/pii/S0029784497000732)
Oh, good to know! I stand corrected. :) I'm a grand multip myself and was only told that I was at risk for bleeding from uterine hypotonia. And then way back in my OB rotation, I only remember being taught about a previous c-section (esp. with a vertical incision) and/or hyperstimulation during induction raises the risk.
Here.I.Stand, BSN, RN
5,047 Posts
Oh, good to know! I stand corrected. :) I'm a grand multip myself and was only told that I was at risk for bleeding from uterine hypotonia. And then way back in my OB rotation, I only remember being taught about a previous c-section (esp. with a vertical incision) and/or hyperstimulation during induction raises the risk.