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Yes, the greatest medical risk is to
newborn. However, the greatest emotional risk is to the family as a whole.
The goal is to keep the family a cohesive functioning unit. Many divorces have been triggered by the
stress of a less than optimum birth outcome. Those families that do survive intact are
at risk for financial ruin due to years of extensive care needs and medical
costs incurred by the care of the child who may have residual deficits from a
traumatic delivery. 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: Jenifer Brewer [mailto:[EMAIL PROTECTED]
And from a risk management/ quality
management standpoint what would be the logic – I would assume the
greatest risk is to the newborn? Thanks, Jen From: 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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