Document Detail


Promoting fetal stabilization during maternal hemodynamic instability or respiratory insufficiency.
MedLine Citation:
PMID:  16456364     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Fetal oxygenation is primarily determined by maternal oxygenation and uterine blood flow. Several physiologic adaptations during pregnancy support uteroplacental perfusion and, thus, fetal oxygenation. However, the physiologic changes required to sustain the metabolic demands of pregnancy may also predispose the parturient to decompensation when critical illness is superimposed upon pregnancy. In general, the critically ill gravid woman is treated similarly to the nonpregnant adult, with the exception of accomodating the physiologic changes of pregnancy and evaluating fetal well-being. An overview of the physiology of fetal oxygenation, impact of critical care interventions upon the fetus, and evaluation of the fetus is provided.
Authors:
Patricia M Witcher
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Critical care nursing quarterly     Volume:  29     ISSN:  0887-9303     ISO Abbreviation:  Crit Care Nurs Q     Publication Date:    2006 Jan-Mar
Date Detail:
Created Date:  2006-02-03     Completed Date:  2006-03-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8704517     Medline TA:  Crit Care Nurs Q     Country:  United States    
Other Details:
Languages:  eng     Pagination:  70-6     Citation Subset:  N    
Affiliation:
Northside Hospital, Atlanta, GA 30342, USA. trish.sauer@northside.com
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MeSH Terms
Descriptor/Qualifier:
Blood Flow Velocity
Blood Gas Analysis
Critical Care / organization & administration*
Critical Illness
Female
Fetal Monitoring / methods,  nursing
Fetal Viability
Health Promotion
Humans
Nurse's Role
Nursing Assessment
Oxygen Inhalation Therapy
Placenta / blood supply,  metabolism
Pregnancy
Pregnancy Complications* / metabolism,  physiopathology
Pregnancy Complications, Cardiovascular* / metabolism,  physiopathology
Prenatal Injuries / diagnosis,  etiology,  prevention & control*
Respiratory Insufficiency / complications*,  metabolism,  physiopathology
Risk Factors
Uterus / blood supply

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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