Arrived 3cm/70%/-2. She did
not have a rupture of
membranes but she does
have UTI during pregnancy.
Pt. is G1P0 at 39.6 wk and is
20 years old. There is no
history of a birth plan.
Delivery:
NSVD
2nd
degree
laceration.
620
mL
blood
loss.
AGA
newborn
boy
Blood loss >500 mL --> Risk for infection,
risk for fluid volume deficit Mother was
anemic going into labor so the blood loss
would have a negative impact on her
circulatory system (tachycardia,
hypotension, fever, dehydration) Patient
was given IV fluids to replace lost fluids,
VS q4 hours.
UTI in pregnancy --> Risk for infection, impaired urinary
elimination, increased temperature. Mother's body is going
through the infection process so her temperature would be
elevated. Her UTI would cause problems in urinary
elimination due to painful urination and urinary retention. It
would be even more difficult to urinate and stay hydrated
due to NPO status during labor for emergency c-section
possibility. Patient was given water after labor and IV fluids.
She was encourage to walk and use the restroom frequently.