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Why the Apgar score would be placed on the
mother’s record: As you know Apgar scores are done on the
baby as a quick assessment of the child’s ability to survive without
medical intervention. The lower the Apgar score the more catastrophic the
outcome of the childbirth to the baby, mother and family. And the more technical
the medical resources are required to save the child. The lower the birth
weight of previous pregnancies also indicates a history of pregnancy related
issues. Information is power. If a laboring woman has a known history of
delivering children with low Apgar scores and/or low birth weights the appropriate
planning can take place to ensure that the resources are available to provide a
positive childbirth outcome for the baby, mother and family. Is a C-Section
warranted? Is there a Neonatologist available to triage/treat the newborn
in the delivery room? Is there a neonatal intensive care unit (NICU) with
ventilator support for the newborn who may have problems breathing? If
not, is there time to transfer the patient to a hospital that can provide all
of the above? If a laboring woman has a know history of
delivering just one child with low Apgar scores and/or low birth weight that
survived, this may indicate that the family is caring for a special needs child
due to brain damage a birth from lack of oxygen. Even if the current delivery
is perceived not to present a similar problem, the hospital maybe sending the
mom home to care for a newborn (which is stressful enough, especially with the
possibility of postpartum depression) but also an older child with extensive physical
care needs. In this case planning to ensure that the mom and family have
optimum support from community resources is important. Joan M. Smith, RN, Clinical Project Leader 301-552-8867 [EMAIL PROTECTED] CONFIDENTIALITY STATEMENT: This communication, including attachments, is for the exclusive use of addressee and may contain proprietary, confidential or privileged information. If you are not the intended recipient, you are hereby notified that any disclosure, use, copying, dissemination, distribution or taking of any action in reliance on the content of this information is strictly prohibited. If you are not the intended recipient, please notify the sender immediately by return email and delete this communication and destroy all copies. Thank you.
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On
Behalf Of Elizabeth Kirksey I’m not sure I understand why the
apgar score would be placed on the mother. I do not use Meditech but we link
our baby to the mother and this information is entered on the baby. From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
On Behalf Of Jenifer Brewer I have been asked to post the following question as we are
in the middle of implementing the QM/RM module: When setting up the Patient Reviews for Thanks, Jen |
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