plus doxylamine is safe effective and should be considered first line IV fluids

Plus doxylamine is safe effective and should be

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plus doxylamine is safe effective and should be considered first-line IV fluids Correction of ketosis and vitamin deficiency: Thiamine Medications for refractory cases: Antinausea (Phenergan, Zofran, Reglan) PZR Proton Pump Inhibitors. Possible use of steroids Gradual reintroduction of food Incompetent Cervix o Painless dilation of cervix. Her cervix is changing funneling and dilating WITHOUT her feeling contractions. Has to do with the matrix of the tissue in the lower uterine segment/cervix. If it progresses, it can cause contractions and preterm labor. The use of Ultrasound is not recommended for diagnosing o Signs & Symptoms: Pinkish vaginal discharge, Woman reports increased pelvic pressure. Can progress to PSROM, contractions, labor and birth o Treatment Cerclage o Nursing actions, discharge teaching Cervical cultures for chlamydia, gonorrhea, and other cervical infections REST: Pelvic rest = no sex! Nothing inside the vagina Monitor for signs of infection Infections o Know which ones are a problem in pregnancy Risks during pregnancy or delivery o Effects on mother Sexually transmitted infections (STIs) STIs during pregnancy can lead to PTL, PROM, and uterine infection. STIs can cause pelvic inflammatory disease Pelvic inflammatory disease (PID) can lead to o infertility, o chronic hepatitis, and o cervical and other cancers Bacterial Vaginosis o Overgrowth of bacteria in vaginal microbiome o Treatment with metronidazole (Flagyl) Chlamydia/Gonorrhea o Can lead to PPROM, preterm labor o Infections in the neonate o Treated with antibiotics- need for partner(s) treatment Trichomoniasis
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o Protozoan Parasite o Can lead to PPROM, preterm labor, low birth weight, respiratory and genital infection in newborn o Treatment with Metronidazole (cdc states partner does not need to be treated.) Syphilis o Screening Test: RPR & VDRL o Crosses placenta. o Can cause preterm birth, physical deformity, neurological complications, stillbirth and neonatal death o Treatment with Penicillin G IM o Effects on fetus/newborn Sexually transmitted infections (STIs) STIs can pass to the fetus by crossing the placenta transmitted to the baby during delivery Harmful effects to babies include preterm birth, low birth weight, neonatal sepsis, and neurological damage TORCH infections: Infections acquired in utero can result in intrauterine growth restriction, prematurity, chronic postnatal infection, and even death. Toxoplasmosis, Other (hepatitis B), Rubella, Cytomegalovirus Herpes simplex virus
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HIV <2% risk of infection w/antiviral medication PPROM IUGR Herpes HSV1(mouth) or HSV2(genitals) IgG antibodies Any lesion or outbreak = must do C-section delivery Syphilis Screening Test: RPR & VDRL Crosses placenta.
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