Maternal case study #3
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School
Rasmussen College, Florida *
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Course
101
Subject
Medicine
Date
Jan 9, 2024
Type
docx
Pages
2
Uploaded by KidThunderPorpoise3
Mrs. Jones has quite a bit of things that. Can impact the quality of her labor and delivery. She has some risk factors in her history as well as currently participating in things that can lead to some complications during her delivery. Mrs. Jones has had chronic hypertension for the past 5 years and that poses a risk for pre-eclampsia which could lead to renal failure, stroke, edema, gestational hypertension and so much more. Her tobacco use does not help her situation at all either. According to PubMed Central maternal smoking leads to many risks that can impact both them and the baby. Smoking while pregnant can lead to infant death, low birth
weight, preterm baby, and poor intrauterine growth. It can even lead to respiratory problems and infections for the mother (Wehby et al., 2011). We should also point out the potential risk of starting the use of cocaine again because of her history of it and it not being that long ago that she was using. She is depressed and isn’t treating it so that poses a greater risk for her to want to use cocaine again. Because of the history of cocaine use and the current use of tobacco
there is a greater chance of the baby passing for sudden infant death syndrome (SIDS). It is important that we find a way to find the source of her depression and help manage it with some non-pharmacological ways so that she does not become too dependent on them and affect the baby.
Mrs. Jones tested positive for HPV and that poses another threat towards the baby because it can be transferred to them. This makes delivery harder due to the fact that the warts
can bleed and be painful during everything so the conversation of C-section may be brought up.
The genital warts have probably made an appearance already and has not been making her feel
too good about herself and especially due to the fact that she is now pregnant which means there will be doctors and nurses that need to poke and prod in that region. This for sure will not
help her depression and might negatively impact her psyche. Treating the HPV will also be tricky since Mrs. Jones is allergic to Penicillin because some of the same ingredients are in the HPV vaccine. We should also not forget that Mrs. Jones has a family history of insulin-dependent diabetes mellitus, so she should be tested for that when appropriate for the formation of gestational diabetes. It is also highly likely that the untreated depression can lead to post-
partum depression and hopefully targeting the depression now can lessen the likelihood of the formation of post-partum depression.
Wehby, G. L., Prater, K., McCarthy, A. M., Castilla, E. E., & Murray, J. C. (2011). The Impact of Maternal Smoking during Pregnancy on Early Child Neurodevelopment.
Journal of human capital
,
5
(2), 207–254. https://doi.org/10.1086/660885
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