Strip faxed to Dr. Amnioinfusion ordered. Decelerations after contractions. X progress note: Contractions every 1 minute. Pitocin off. FHR with variable decels, some in late position, good recovery, good variability. Fast progress, overall FHR reassuring. X Terbutaline IV given. Contractions every 1. X at bedside. FHR, good variability, variables.
Will reassess in one hour. Back to her office. Moderate variables. Oxygen remains on. Pushed x 2, FHTs down to 60 s. Abdomen palpation done with no increased FHTs. X called and on her way. Terbutaline given. Thick meconium fluid noted. Another OB asked to stand in. Moved to OR. FHTs 50 s. Hospital Guidelines Documentation: Good documentation by primary nurse regarding strip interpretation and keeping Dr.
X informed Pitocin: Never exceeded parameters. Turned off at and never re-started. Fetal Monitoring — case was litigated prior to changes to Category 1, 2 and 3 parameters. Notification of Physician Chain of command: Hospital policy followed by primary nurse who checked with charge nurse and supervisor. Category II: Baseline rate: bradycardia not accompanied by absent variability. Variability: Minimal baseline variability. Absent baseline variability with no recurrent decelerations.
Marked variability. Accelerations: Absence after fetal stimulation Periodic or episodic decelerations: Recurrent variable decelerations with minimal or moderate variability.
During National Infant Mortality Awareness Month in September, we focus on bringing awareness and calling for change regarding the rate of infant death and the racial disparities in infant death. Can you share some of the highlights of the work UH Healthy Start has done over the past two years? We have hit the ground running since our program received funding in ! We onboarded our coordinated care case managers, outreach specialists, and a fatherhood involvement coordinator.
However, we continued to provide visits via a virtual platform. Despite numerous challenges to enrollment, we have been able to reach women, and we currently have about women, infants, and fathers in the program. Each baby benefits from nurse and case management visits in the safety of their home. Many women who belong to the Millennial and Gen Z generations have become parents amid a pandemic and rising maternal and infant deaths statistics in the United States.
Is there any advice you would give to those who may be apprehensive about taking the next step into motherhood? All research points to the importance of good physical and mental health during pregnancy to help ensure healthy childbirth and postpartum.
Health is affected by where we live and work, access to quality healthcare, poverty, housing, and mental health. Seeking support is critical at this time when pregnant and postpartum women have to weigh the desire to be with friends and family and the risk of COVID, thus putting many women at risk for loneliness and isolation during pregnancy and postpartum. At Healthy Start, we seek to decrease infant and maternal mortality by having a registered nurse and staff trained to screen for perinatal depression and help connect mothers to clinics and hospitals that treat all mothers with dignity and respect.
Why is equity essential to consider when trying to address infant mortality?
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