"Disorders Related to Pregnancy" is a delightful example of a paper on pregnancy. The research article studied the relationship between hypertensive pregnancy disorders, cardiovascular diseases, and diabetes mellitus in a pregnant mother. According to the study, approximately 5%-7% of all pregnancies have complications related to hypertension. Among the complications are preterm delivery, fetal growth restriction, and placental-associated syndromes such as placental abruption and stillbirth. The study also linked the recurrence of hypertensive disorders to the increased risk of acquiring cardiovascular diseases such as thrombophilia, endothelial dysfunction, antiangiogenic state, ischemic heart diseases, and stroke.
The researchers found one study focusing on type 2 diabetes mellitus during pregnancy. The study methodologies include the use of NPR (National Patient Registry) to collect information on all discharge diagnoses from hospitals and deliveries in Denmark from January 1, 1978, to October 1, 2007. Out of 965, 475 women, the total amount of deliveries noted is 1 795 806. The American College of Obstetricians and Gynecologists criteria were used in differentiating each hypertensive disorder and the Cox proportional-hazard models to censor a time-dependent variable that includes maternal age at delivery and year of delivery. The result of the study found a significant association between hypertensive pregnancy disorders and subsequent type 2 diabetes mellitus and cardiovascular events and requires control over contributing factors such as family income, smoking, and body mass index.
The study also found a link between metabolic disorder and preeclampsia and suggests further research (Lykke et al. , p. 944-951). Point of View as a Nurse As a nurse, the health of the mother and child is our main priority, and diseases affecting both of their wellness such as hypertensive disorders, cardiovascular diseases, and type 2 diabetes are significantly alarming and require prompt treatment.
Based upon the analysis, these diseases are related to blood circulation and the focus of our nursing care should be improving circulation by monitoring laboratory values dealing with fluids and electrolytes such as weight, CBC, and hematocrit, as well as the maternal vital signs and fetal heart rate. The promotion of increased peripheral circulation is also important and frequent monitoring. Effects on OB Nurse As a nurse who might be assigned or specialized in an obstetric ward, the result of this research has a significant effect on nursing practice.
Obstetrical nurses will be more observant in recognizing early signs of disorders related to pregnancy. The focus of care is not only safe delivery but also minimizing risks or complications. Education to Patient Health education includes the desired blood pressure for a pregnant mother and the explanation of the effect of hypertensive disorders on the cardiovascular system. During the conversation, allow the patient to verbalize her understanding of the disease in order to clarify misconceptions. Apart also from our health education is the assistance given to the patient in identifying sodium-rich food and to decrease or eliminate caffeine in her diet.
Stress the importance of accomplishing daily rest periods and the importance of cooperation in adhering to the treatment regimen and follow-up schedules.
ReferencesLykke, Jacob A., et al. “Hypertensive Pregnancy Disorders and Subsequent Cardiovascular Morbidity and Type 2 Diabetes Mellitus in the Mother.” American Heart Association 53 (2009): 944-951. American Heart Association Learn and Live: Hypertension. Dallas, Texas, World Wide Web. 20 June 2011