TY - JOUR
T1 - Placenta praevia, placental abruption and amphetamine use in pregnancy
T2 - A case study
AU - McLaurin, R.
AU - Geraghty, S.
PY - 2013/6/1
Y1 - 2013/6/1
N2 - Pregnant women who misuse alcohol or substances often develop obstetric conditions that further complicate their pregnancy. This case study reflects on the maternity care provided for a woman who continued to use amphetamines during her pregnancy; and who was diagnosed with placenta praevia and subsequently suffered a placental abruption. Alcohol and substance misuse in pregnancy is currently escalating, increasing the risk in maternal and neonatal morbidity and mortality. Midwives must be confident in the advice and care they provide in order to reduce the risks caused by substance misuse, and be able to support this with evidence-based care. Purpose: The purpose of this case study is to discuss the obstetric condition involved with placenta praevia with the occurrence of a placental abruption in a woman who uses amphetamines during pregnancy; and the midwifery and obstetric care involved. Interest/relevance/congruency: It will highlight the importance of evidence-based care in high risk obstetrics. Content: (1) Case summary; (2) discussion; (3) risk factors; screening, diagnosis and management; foetal and neonatal monitoring; postnatal management, and trauma informed care. Conclusion: It was shown with planning, understanding, communication, and vigilance, the care of an amphetamine using pregnant woman with a diagnosis of placenta praevia and abruption can be successfully accomplished. The management of the woman discussed in this case study was within the recommendations currently available in the literature.
AB - Pregnant women who misuse alcohol or substances often develop obstetric conditions that further complicate their pregnancy. This case study reflects on the maternity care provided for a woman who continued to use amphetamines during her pregnancy; and who was diagnosed with placenta praevia and subsequently suffered a placental abruption. Alcohol and substance misuse in pregnancy is currently escalating, increasing the risk in maternal and neonatal morbidity and mortality. Midwives must be confident in the advice and care they provide in order to reduce the risks caused by substance misuse, and be able to support this with evidence-based care. Purpose: The purpose of this case study is to discuss the obstetric condition involved with placenta praevia with the occurrence of a placental abruption in a woman who uses amphetamines during pregnancy; and the midwifery and obstetric care involved. Interest/relevance/congruency: It will highlight the importance of evidence-based care in high risk obstetrics. Content: (1) Case summary; (2) discussion; (3) risk factors; screening, diagnosis and management; foetal and neonatal monitoring; postnatal management, and trauma informed care. Conclusion: It was shown with planning, understanding, communication, and vigilance, the care of an amphetamine using pregnant woman with a diagnosis of placenta praevia and abruption can be successfully accomplished. The management of the woman discussed in this case study was within the recommendations currently available in the literature.
KW - Amphetamine use and pregnancy
KW - Antepartum haemorrhage
KW - Drug use and pregnancy
KW - Foetal monitoring
KW - Neonatal Apgar scores
KW - Neonatal cord gas results
KW - Placenta abruption
KW - Placenta praevia
KW - Post traumatic stress disorder
KW - Smoking and pregnancy
KW - Trauma
KW - Trauma informed care
UR - http://www.scopus.com/inward/record.url?scp=84877156435&partnerID=8YFLogxK
U2 - 10.1016/j.wombi.2012.11.002
DO - 10.1016/j.wombi.2012.11.002
M3 - Article
C2 - 23266230
AN - SCOPUS:84877156435
VL - 26
SP - 138
EP - 142
JO - Women and Birth
JF - Women and Birth
SN - 1871-5192
IS - 2
ER -