What major complication might occur with this diagnosis

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Reference no: EM133644076

Victoria Edmonds (VE)is a 32-year-old female. G6T 5 P0 A0 L5 who presents to L&D at 4/80%/-1 station at140, moderate variability, accelerations present, contractions every 4 minutes, membranes ruptured on admission during exam. Blood type is A+; she is GBS negative. She has received regular prenatal care, all previous deliveries vaginal. Partner present at bedside. Epidural was placed by anesthesia 1 hour ago and appears to be functioning well. Home medications include prenatal vitamin, albuterol inhaler PRN, ranitidine, and tums. Admission weight 68 kgs.

Allergies

• Penicillin

• Adhesives

• Iodine

• Pen (ink)

Social History:

• Married

• High school teacher

• Denies history of alcohol, smoking, or other non- prescribed drug use.

PMH

• Asthma diagnosed as a child

• Preeclampsia in first pregnancy

• GERD

Victoria labors for 3 hours and delivers a baby boy. A normal amount of amniotic fluid is noted as clear. The 2nd stage labor lasts for 30 minutes. Mom has a second degree laceration with repair. The baby appears to do well and bonds with mom and dad. The baby weighs 8 lbs. and 8 ounces.

Initial examination s/p vaginal delivery

• Alert and oriented x4

• Slightly anxious

• Lung sounds clear bilaterally anterior and posterior

• Oxygen saturation 98% on RA

• HR 110, Sinus Tachycardia

• Fundus boggy, +2FB above umbilicus

• Moderate rubra flow

Questions

1. What major symptoms would you expect to see with this diagnosis (PPH)?

2. What major complication might occur with this diagnosis? Any long-term complications?

Reference no: EM133644076

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