Document Detail


Perinatal implications of sickle cell disease.
MedLine Citation:
PMID:  21709519     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
ABSTRACT: Sickle cell disease (SCD) affects millions of people across the globe. In the United States, approximately 70,000 to 100,000 people have the disease, and 2 million have the sickle cell trait. SCD occurs once in every 500 African American births, and once in 36,000 Hispanic American births. Women with SCD can have more adverse maternal outcomes such as preeclampsia, eclampsia, preterm labor, placental abruption, intrauterine growth restriction, and low birthweight. Providing comprehensive nursing care to women with SCD is a challenge, particularly during labor and birth, with nursing management aimed at attaining healthy birth outcomes while preventing or treating manifestations of the disease. Labor and delivery nurses are responsible for specific knowledge and care practices for these women, including differentiating the pain of sickle cell crisis from contraction pain and monitoring maternal and fetal oxygenation, as oxygenation is jeopardized in laboring sickle cell patients. Intrapartum nursing care also requires vigilance in the need for emergency cesarean birth. Nursing interventions include symptom management, pain management, ensuring patient safety, and educating patients. Coordination of care and clear communication between the members of the healthcare team, patient, and family are essential elements to ensure a positive outcome for perinatal patients with SCD.
Authors:
Nancy J Macmullen; Laura A Dulski
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  MCN. The American journal of maternal child nursing     Volume:  36     ISSN:  1539-0683     ISO Abbreviation:  MCN Am J Matern Child Nurs     Publication Date:    2011 Jul-Aug
Date Detail:
Created Date:  2011-06-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7605941     Medline TA:  MCN Am J Matern Child Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  232-8     Citation Subset:  IM; N    
Affiliation:
Nancy J MacMullen is an Associate Professor at Governors State University, University Park, IL. She can be reached via e-mail at nmacmullen@govst.edu. Laura A. Dulski is an Assistant Professor at Resurrection University, Oak Park, IL.
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