Summary of Sesión clínica "Intervenciones de enf. para la atención de la emergencia obstétrica"

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The YouTube video titled "Sesión clínica "Intervenciones de enf. para la atención de la emergencia obstétrica"" discusses interventions for emergency obstetric care. The video focuses on the importance of maternal mortality rates in Mexico, and points out that many of these deaths could have been prevented with better access to health care. The presenter provides a clinical session on interventions for emergency obstetric care, discussing risks associated with maternal health and productivity. Factors of risk include reproductive or preconceived age, maternal age over 35, history of bad obstetric history, for example previous abortions, dead children, children born dead, less than two years between pregnancies, or more than two years between childbirths. Perinatal risk factors include maternal diabetes, multiple pregnancies in the third trimester, hypertension, substance abuse, excessive weight gain, exposure to radiation, occupational or environmental hazards, and sexual or maternal transmission infections.

00:00:00 This video presents the topic of emergency obstetric care, focusing on risk factors and interventions. It discusses the importance of prenatal care, childbirth risks, and postpartum care. The presenter discusses the importance of maternal mortality rates in Mexico, and points out that many of these deaths could have been prevented with better access to health care.
00:05:00 The presenter provides a clinical session on interventions for emergency obstetric care, discussing risks associated with maternal health and productivity. Factors of risk include reproductive or preconceived age, maternal age over 35, history of bad obstetric history, for example previous abortions, dead children, children born dead, less than two years between pregnancies, or more than two years between childbirths. Perinatal risk factors include maternal diabetes, multiple pregnancies in the third trimester, hypertension, substance abuse, excessive weight gain, exposure to radiation, occupational or environmental hazards, and sexual or maternal transmission infections. One recommendation is that the health care professional inform pregnant women that bed rest is not recommended.
00:10:00 The video discusses the importance of taking an arterial blood pressure (ABP) measurement both in the arms, using an appropriate size cuff, and noting the correct arm position for the BP reading. The video then shows images of a correct BP reading and explains that the ABP cannot be taken if the patient is sitting and the arm is hanging. A nurse should then inform the health care provider if the patient desires to have the cuff placed on their exposed arm, and avoid including the cuff below the ETT or stethoscope unit. When taking two readings in two separate occasions, ABP should not be taken in any location within five minutes of each other. Other factors to consider when providing antenatal care include the woman not being tired from remaining in rest, not having consumed alcohol, nicotine, caffeine, etc., prior to the intervention, and having a stable blood pressure. A nurse should be aware of the fourth stage of labor, which includes the use of uterotonics, and should have a supply of sulfate of magnesium (250 milliliters of glucose solution, 5%) or harm's solution on hand. When evaluating pregnant women for the presence of third stage labor, the nurse should also assess heart rate, oxygen saturation, consciousness, and observe vital signs around
00:15:00 The following is a transcript excerpt of a YouTube video titled "Sesión clínica "Intervenciones de enf. para la atención de la emergencia obstétrica"" which discusses the third stage of labor, known as "active labor." This stage occurs approximately two thirds of the time after birth and is characterized by increased uterine contractions. If done correctly, it can save the life of a woman who experiences postpartum hemorrhage. This presentation is aimed at providing simplified steps for performing "active labor" which, when followed correctly, can reduce the incidence of postpartum hemorrhage by two thirds. It is also important to note that two thirds of women who experience postpartum hemorrhage do not have identifiable risk factors. The main goal of this presentation is to show and explain the main steps of "active labor" which, when performed correctly, can save lives. Active labor, or the third stage of labor, begins after the baby is born and lasts until the placenta is delivered. It is typically initiated with the use of a uterineotonics drug, such as oxytocin, within the first minute after the baby is born. Finally, this presentation
00:20:00 This video provides a step-by-step guide on how to perform an intervention for emergency Obstetrics, which is known as "managing the delivery." The first step is to perform a massage of the uterus through the abdomen following the birth of the baby. This is followed by the administration of a uterine tonic, which can help contract the uterus and help separate the placenta from the uterine wall. When controlled, the cord around the umbilical cord helps speed up the delivery of the placenta. The third step is to perform a massage of the uterus through the abdomen following the birth of the baby. This is followed by the administration of oxitocin, which will cause contractions in the uterus. If the contractions are not strong enough, the intervention may require manual compression of the uterus using both hands. If the placenta does not descend within 30-40 seconds of manual compression and controlled cord traction, the intervention may need to be stopped and the delivery attempt restarted. If contractions are not strong enough after multiple attempts, the uterus may need to be massaged through the abdomen with gentle pressure until the placenta and membranes have been expelled. After the delivery,
00:25:00 The third stage of labor, referred to as the "active phase," involves the administration of oxytocin. This is done within the first minute after the baby is born. The third stage of labor also involves the use of controlled traction on the umbilical cord and a massage of the uterus through the abdomen following the delivery of the placenta. This simple intervention can prevent many mothers from dying from postpartum hemorrhage. This intervention will be discussed in more detail later in the video, but in short, it includes the administration of oxytocin within the first minute after the baby is born, the use of traction to control the cord, and a massage of the uterus. This is a safe and effective intervention that can be done by any provider skilled in obstetrics and gynecology.
00:30:00 This video discusses the use of compression balls for the management of postpartum hemorrhage. The ball is placed on the mother's abdomen to compress the uterus and help stop bleeding. The ball is also used for the prevention of postpartum hemorrhage in cases of pre-eclampsia.
00:35:00 The video discusses the use of interventions to address obstetric emergencies, such as high blood pressure. It demonstrates the use of a Foley catheter and a vacuum catheter to fill a balloon catheter. It also demonstrates the use of a cardiopulmonary resuscitation (CPR) machine and a vacuum aspirator to clear blood from a woman's uterus in a postpartum emergency.
00:40:00 The video discusses the use of compression garments, which help to reduce the risk of deaths associated with obstetric hemorrhage. The garment is made of five segments that are sewn together, and it has articulating segments that are horizontal three over each leg, and one over the pelvis. It is placed below the patient on the dorsal side, until the twelfth rib, and then the segments of the trousers are placed in order of ascending height, segment 1, 2, 3, 4, 5, and 6. The person placing the garment on the patient should be skilled in doing so, and should be assisted by another person. The garment has several advantages, including the ability to reduce blood loss and the number of blood transfusions, and the stabilization of the patient during transport. Procedures that can be performed with the garment include repair of episiotomy, manual extraction of the placenta, bimanual compression of the uterus, aspiration and manual ventilation, taponamiento with a ball compression device, and pinching of blood vessels in the vagina. There are certain precautions that must be taken into account when the garment is used, such as the fact that the fetus can be viable in the uterus 20 minutes from delivery, and patients with hemorrhagic Shock
00:45:00 This is a true story. We're going to ask the following question: What are the interventions of nursing for the treatment of obstetric emergencies? One recommendation is that health care professionals monitor pregnant patients for potential life-threatening risks associated with hemorrhages or infection. Additionally, they should administer antibiotics prescribed by a medical doctor that cover both aerobic and anaerobic bacteria risks in the third stage of labor. The practice is that nursing staff should document procedures and patient response in clinical notes and health record forms. A study recently found that mortality rates were associated with body temperature above 38°C (100.4°F), excluding the first 24 hours. Heat production during childbirth increases body temperature, and this physiologic process is related to postpartum recovery. I'll be monitoring temperature periodically. If there are any factors that increase risk for the baby, such as infection caused by bed-sharing, one good practice is to suspect sepsis when the temperature is above 36°C (97.8°F) and the heart rate is greater than 90 beats per minute, and the respiratory rate is greater than 20 minutes per minute, and there is a partial oxygen saturation below 32 mm Hg. A count or cite me above 12,000 per cubic
00:50:00 This video discusses how to keep the patient oxygenated during an emergency Obstetric situation, and offers advice on how to check the patient's oxygen saturation level and maintain it above 92-94%. It also mentions how to monitor the patient's blood pressure, heart rate, and respiration.
00:55:00 The objective of this video is to help identify signs and symptoms of pregnancy in order to classify the woman as having a code-material situation, which then activates the obstetric emergency response mechanism known as Code Blue. Following this, we will describe the functions of the nursing staff. The nurse will be positioned on the woman's left side and will monitor her vital signs dynamically. The nurse will also take and evaluate signs of life. The nurse will provide assistance in providing information, performing aspiration of secretions, and placing an endotracheal tube as necessary. The nurse will also provide assistance in the installation of a Foley catheter and nasogastric tube. The nurse will also provide assistance in the administration of medications and hemoderivates. The nurse who will be stationed on the right side of the patient will also perform such tasks as administering medication, providing topical solutions, and placing a pulse oximeter. The nurse will also perform clinical records, administer medications, and attach a patient identification bracelet. The nurse will also perform an initial evaluation. Each function of the nursing staff must be performed in accordance with each of the competencies described in technical guideline 3 on obstetric care, known as Code Blue. Thanks for watching! This video discusses the functions of

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This video provides a brief overview of different interventions that are available for obstetric emergencies. It also includes a segment on the "Guidelines for Practice for Obstetric Emergencies" which provides recommended interventions for pregnant patients based on level of care.