Nursing Management of Pregnancy at Risk Nursing Management of Labor and Birth at Risk

Nursing Management of Pregnancy at Risk Nursing Management of Labor and Birth at Risk

Pregnancy is an actual occurrence in a woman’s life requiring careful consideration and management to ensure a healthy outcome for both the mother and the baby. Various risk factors are increasing the likelihood of complications during pregnancy. The risk factors range from pre-existing medical conditions, including diabetes or hypertension, and lifestyle factors, like smoking or substance abuse (Ramlakhan et al., 2020). The healthcare team, such as the nurses, is responsible for identifying the risk factors early and managing them appropriately to improve outcomes. Nursing management of the risks during pregnancy involves a multidisciplinary approach, including careful monitoring, education, and intervention to prevent potential complications. The essay explores the risk of a repeat cesarean delivery, why women do not want to try a VBAC delivery and the management of care for a woman attempting a VBAC delivery.

The Risks of a Repeat Cesarean Delivers

A repeat cesarean delivery is also termed a C-section, where it involves a surgery where a baby is delivered through an opening that is performed in the mother’s abdomen and the uterus. This is a secure process in many cases, but it is accompanied by many risks, including infection, bleeding, the nearing organs being injured, clotting of the blood, and reaction to anesthesia (De Mucio et al., 2019). In addition, there are some risk complications brought about by consequent cesarean delivery, including uterine rupture, which is rare but a grave complication occurring when a scar of a past cesarean delivery during labor tears leads to excessive bleeding, maternal and fetal bleeding death, and fetal distress. Another complication as a result of a consequent cesarean delivery is placenta previa, where the placenta embeds low in the uterus and partially covers the cervix hence causing bleeding during pregnancy and delivery, and it is brought about by low implanitation of the fertirized egg, fibriods, and scaring of the uterine lining (Jung et al., 2018). In addition, consequent cesarean delivery can lead to placenta accreta, where the placenta develops too deeply into the uterus walls, where during delivery, one can heavily bleed and requires a hysterectomy, which can lead to premature delivery and subsequent complications are the primary concerns for the baby. It is essential for healthcare providers and patients undergoing the process to understand its dangers and benefits.