Vital Signs and Other Observations Used to Detect Deterioration in Pregnant Women

2017 ◽  
Vol 61 (4) ◽  
pp. 99
Author(s):  
G. B. Smith ◽  
R. Isaacs ◽  
L. Andrews ◽  
M. Y. K. Wee ◽  
E. van Teijlingen ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Vital Signs

scholarly journals Vital signs and other observations used to detect deterioration in pregnant women: an analysis of vital sign charts in consultant-led UK maternity units

2017 ◽  
Vol 30 ◽  
pp. 44-51 ◽  
Author(s):  
G.B. Smith ◽  
R. Isaacs ◽  
L. Andrews ◽  
M.Y.K. Wee ◽  
E. van Teijlingen ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Vital Sign ◽  
Vital Signs

scholarly journals Pregnancy physiology pattern prediction study (4P study): protocol of an observational cohort study collecting vital sign information to inform the development of an accurate centile-based obstetric early warning score

BMJ Open ◽  
2017 ◽  
Vol 7 (9) ◽  
pp. e016034 ◽  
Author(s):  
Fiona Kumar ◽  
Jude Kemp ◽  
Clare Edwards ◽  
Rebecca M Pullon ◽  
Lise Loerup ◽  
...  
Keyword(s):  
Cohort Study ◽  
Pregnant Women ◽  
Early Warning ◽  
Vital Signs ◽  
Observational Cohort Study ◽  
Mobile Internet ◽  
Early Warning Score ◽  
Evidence Based ◽  
Reference Ranges ◽  
Observational Cohort

IntroductionSuccessive confidential enquiries into maternal deaths in the UK have identified an urgent need to develop a national early warning score (EWS) specifically for pregnant or recently pregnant women to aid more timely recognition, referral and treatment of women who are developing life-threatening complications in pregnancy or the puerperium. Although many local EWS are in use in obstetrics, most have been developed heuristically. No current obstetric EWS has defined the thresholds at which an alert should be triggered using evidence-based normal ranges, nor do they reflect the changing physiology that occurs with gestation during pregnancy.Methods and analysisAn observational cohort study involving 1000 participants across three UK sites in Oxford, London and Newcastle. Pregnant women will be recruited at approximately 14 weeks’ gestation and have their vital signs (heart rate, blood pressure, respiratory rate, oxygen saturation and temperature) measured at 4 to 6-week intervals during pregnancy. Vital signs recorded during labour and delivery will be extracted from hospital records. After delivery, participants will measure and record their own vital signs daily for 2 weeks. During the antenatal and postnatal periods, vital signs will be recorded on an Android tablet computer through a custom software application and transferred via mobile internet connection to a secure database. The data collected will be used to define reference ranges of vital signs across normal pregnancy, labour and the immediate postnatal period. This will inform the design of an evidence-based obstetric EWS.Ethics and disseminationThe study has been approved by the NRES committee South East Coast–Brighton and Sussex (14/LO/1312) and is registered with the ISRCTN (10838017). All participants will provide written informed consent and can withdraw from the study at any point. All data collected will be managed anonymously. The findings will be disseminated in international peer-reviewed journals and through research conferences.

scholarly journals Development and evaluation of a novel Vital Signs Alert device for use in pregnancy in low-resource settings

2018 ◽  
Vol 4 (4) ◽  
pp. 192-198 ◽  
Author(s):  
Hannah L Nathan ◽  
Nicola Vousden ◽  
Elodie Lawley ◽  
Annemarie de Greeff ◽  
Natasha L Hezelgrave ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Early Warning ◽  
Early Warning System ◽  
Healthcare Providers ◽  
Vital Signs ◽  
Warning System ◽  
Evidence Based ◽  
Traffic Light ◽  
Low Resource Settings ◽  
In Pregnancy

ObjectivesHaemorrhage, hypertension, sepsis and abortion complications (often from haemorrhage or sepsis) contribute to 60% of all maternal deaths. Each is associated with vital signs (blood pressure (BP) and pulse) abnormalities, and the majority of deaths are preventable through simple and timely intervention. This paper presents the development and evaluation of the CRADLE Vital Signs Alert (VSA), an accurate, low-cost and easy-to-use device measuring BP and pulse with an integrated traffic light early warning system. The VSA was designed to be used by all cadres of healthcare providers for pregnant women in low-resource settings with the aim to prevent avoidable maternal mortality and morbidity.MethodsThe development and the mixed-methods clinical evaluation of the VSA are described.ResultsPreliminary fieldwork identified that introduction of BP devices to rural clinics improved antenatal surveillance of BP in pregnant women. The aesthetics of the integrated traffic light system were developed through iterative qualitative evaluation. The traffic lights trigger according to evidence-based vital sign thresholds in hypertension and haemodynamic compromise from haemorrhage and sepsis. The VSA can be reliably used as an auscultatory device, as well as its primary semiautomated function, and is suitable as a self-monitor used by pregnant women.ConclusionThe VSA is an accurate device incorporating an evidence-based traffic light early warning system. It is designed to ensure suitability for healthcare providers with limited training and may improve care for women in pregnancy, childbirth and in the postnatal period.

scholarly journals Vital Signs: Burden and Prevention of Influenza and Pertussis Among Pregnant Women and Infants — United States

2019 ◽  
Vol 68 (40) ◽  
pp. 885-892 ◽  
Author(s):  
Megan C. Lindley ◽  
Katherine E. Kahn ◽  
Barbara H. Bardenheier ◽  
Denise V. D’Angelo ◽  
Fatimah S. Dawood ◽  
...  
Keyword(s):  
United States ◽  
Pregnant Women ◽  
Vital Signs

scholarly journals A Case Report of COVID-19 in a Pregnant Woman with Clinical Manifestations of Chorioamnionitis in Ilam, Iran

2020 ◽  
Vol 9 (3) ◽  
Author(s):  
Nasrin Rashan ◽  
Mona Bahmani ◽  
Ashraf Direkvand-Moghadam
Keyword(s):  
Pregnant Women ◽  
Throat Swab ◽  
Clinical Manifestations ◽  
Vital Signs ◽  
Upper Respiratory Tract ◽  
Rt Pcr ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Pregnant Mothers ◽  
Swab Specimen

Introduction: Confrontation with COVID-19 has threatened all people of the world, including pregnant women, as a high-risk group. Case Presentation: The present study presents a 29-year-old female G1P0 at 33 weeks’ gestation. The patient’s initial complaint was the premature rupture of membranes. The patient’s vital signs showed an abnormal pulse rate and temperature. Initial assessments were carried out, including regular monitoring and recording of vital signs, mother’s blood ABG, uterine contractions, laboratory tests, and fetal heart rate. Treatment for chorioamnionitis began with intravenous ampicillin, gentamicin, and oral erythromycin. Because of the epidemic of COVID-19 in Iran and Ilam, a throat swab specimen was obtained from the upper respiratory tract of the patient. The RT-PCR assay confirmed that the throat swab sample of the patient was positive for COVID-19. A throat swab specimen was taken from the newborn for RT-PCR. Also, the mother’s chest CT scan was done that showed abnormality; however, the RT-PCR throat swab specimen was negative for the newborn. The patient was transferred to the COVID-19 care unit. She was healthily discharged from the hospital with two negative RT-PCR tests. Her newborn was followed for two weeks, and no symptoms of COVID-19 were reported. Conclusions: Some major prenatal complications, including fetal distress, preterm labor, premature rupture of membranes, and amniotic fluid abnormalities, have been reported among some pregnant women infected with COVID-19 (7); however, the clinical manifestations of COVID-19 are deceptive. Therefore, low attention to all aspects of COVID-19 and late examination would increase the risk of spreading the disease among therapists providing services and other hospitalized mothers. These concerns make pregnant mothers afraid of even the most necessary referrals for appropriate and necessary midwifery interventions. Therefore, it is necessary to pay attention to two important issues: first, the concerns and anxieties of pregnant mothers and second, making the diagnosis in suspected cases as soon as possible.

scholarly journals Frequency of Stillbirths in Obese Pregnant Women

2021 ◽  
Vol 15 (10) ◽  
pp. 2808-2810
Author(s):  
Kiran Javed ◽  
Razia Bibi ◽  
Samina Gohar ◽  
Munawar Afzal
Keyword(s):  
Pregnant Women ◽  
Graduate Training ◽  
Vital Signs ◽  
Cross Sectional Study ◽  
Training Experience ◽  
Exclusion Criteria ◽  
Cross Sectional ◽  
Still Births ◽  
Post Graduate Training ◽  
Respective Field

Objective: To determine the frequency of stillbirths in obese pregnant women. Design of the Study: It’s a descriptive cross-sectional study. Study Settings: This study was carried out at Department of Obstetrics and Gynecology, Lady Reading Hospital Peshawar from January 2018 to July 2018. Material and Methods: In this study a total of 289 patients were observed. Detailed history was taken from each patient, period of gestation was calculated from 1st trimester scan, conducted by a person having at least 2 years post-graduate training experience in his/her respective field. Height/Weight measurements were done by the same standardized equipment’s for all enrolled patients and BMI calculation done by standard WHO formula before delivery. Baby after delivery was examined and looked for presence/absence of vital signs by the designated obstetrician. Outcome of pregnancy either alive or stillborn baby was recorded for each patient in order to fulfill the objective of study. To control bias and confounding, exclusion criteria had strictly followed. All the data was recorded on a pre-designed Proforma and subjected to analysis. Results of the Study: Our study shows that mean age of 28.87 +3.92 years Forty two percent patients were primi gravid and 58% patients were multi gravida. Forty three percent patients were primi para while 57% patients were multi para. Ninety percent babies were alive while 10% babies were still birth. Conclusion: Our study concludes that the frequency of still births was 10% in obese pregnant women. Keywords: still births, obese, pregnant women, primi para, WHO.

scholarly journals COVID-19 and the production of knowledge regarding recommendations during pregnancy: a scoping review

2020 ◽  
Vol 28 ◽  
Author(s):  
Victor Hugo Alves Mascarenhas ◽  
Adriana Caroci-Becker ◽  
Kelly Cristina Máxima Pereira Venâncio ◽  
Nayara Girardi Baraldi ◽  
Adelaide Caroci Durkin ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Scoping Review ◽  
Vaccine Development ◽  
Clinical Manifestations ◽  
Vital Signs ◽  
Future Research ◽  
Production Of Knowledge ◽  
Individualized Care ◽  
Novel Coronavirus ◽  
The Impact

Objective to map the production of knowledge regarding recommendations for providing care to pregnant women dealing with the novel coronavirus. Method scoping review, using a broadened strategy to search databases and repositories, as well as the reference lists in the sources used. Data were collected and analyzed by two independent reviewers. Data were analyzed and synthesized in the form of a narrative. Results the final sample was composed of 24 records, the content of which was synthesized in these conceptual categories: clinical manifestations, diagnosis, treatment, working pregnant women, vaccine development, complications, prenatal care, vertical transmission, and placental transmissibility. It is recommended to confirm pregnancy and disease early on, to use technological resources for screening and providing guidance and support to pregnant women. Conclusion recommendations emphasize isolation, proper rest, sleep, nutrition, hydration, medications, and in the more severe cases, oxygen support, monitoring of vital signs, emotional support, and multiprofessional and individualized care. Medications should be used with caution due to a lack of evidence. Future research is needed to analyze the impact of the infection at the beginning of pregnancy and the psychological aspects of pregnant women infected with the virus.

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