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High Risk Obstetrics

Natalie Hotta

Nursing 320

10/4/16
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High Risk Obstetrics

I attended a High Risk obstetrics conference that included topics such as pregnancy

induced hypertension, VTE, preterm labor, shoulder dystocia, abnormal placenta placenation,

and elective labor induction and natural labor stimulators. I felt that the presenter Jaimie

Otremba was very knowledgeable and had a lot of experience in the obstetrics field. It was great

to hear about current practices on the topics that I have been learning in my maternity nursing

class. It really reinforced what my professor has been teaching us and brought to light all of the

material that we have been covering in class.

Looking back at the conference a topic that really stood out in my mind was elective

labor induction. Back in 2010 elective labor induction was prevalent, 40% of labors were

induced. After learning about the major risk of inducing labor such as the cost associated with

induction, increased risk of c section and iatrogenic prematurity this opened my eyes to the fact

that elective induction is not always a positive action and has many cons associated with it. One

SLO that this topic fits into is to reflect on nursing practice in managing care for groups of

patients. As a nurse it is my duty to always do what is best for my patient. By attending this

conference I have learned that elective labor induction is not the best nursing practice for all

patients. The time where induction is appropriate would be only when the benefits to either the

mother or fetus outweigh the risk of continuing the pregnancy. I feel that keeping up with the

most current and best practices is an essential part of being a nurse in order to provide the best

care possible to my patients.

Another topic that Jamie covered was natural labor stimulators. This brings to mind another
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SLO of seeking information to develop plans of nursing care that are family centered, age-

and culturally-appropriate using evidenced-based clinical guidelines. In nursing I will come

across a variety of people each having their own set of beliefs and cultures. Each culture has

their own set of practices that they believe in regarding natural labor stimulators. It is my job as

a nurse to include my patients in developing a plan of care. It is essential that I consider their

cultural practices as a part of their plan such as acupuncture, certain types of foods, any rituals

etc. Even though some of the patients practices may seem foreign to me it is my job to support

my patient in any way possible and remain non judgemental.

I understand that it is a privilege to work with patients. They are putting their trust in you

during many special, critical and venerable situations. Having a baby is a very special time in a

familys life. It can be an extremely beautiful and special time, but with high risk pregnancies it

also can be a very stressful time. The last SLO that I will address is to deliver family centered

care. The woman is the primary focus of the pregnancy. But I must also remember that there

are other people that are involved such as the babys father, siblings and other family members.

With high risk pregnancies it is important to keep everyone up to date with what is going on and

to educate them. With so many complications that can arise such as pregnancy induced

hypertension, shoulder dystocia, preterm labor, etc. it is essential to involve the whole family and

not to just focus on the mother.

It was a pleasure to attend this high risk obstetrics conference. I have taken away great

knowledge in the best and most current practices for high risk obstetrics. This conference really

has supplemented the content that my professor has discussed in class.

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References

Otremba, J. (2016). High risk obstetrics [Pamphlet]. Eau Claire, Washington: Pesi.
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References

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