Report on Continuing Nursing Education -2016
Department of OBG Nursing, Manipal College of Nursing Manipal along with 2nd year OBG nursing postgraduate students organized a CNE programme on “Obstetrical Emergencies” for staff nurses of Kasturba Hospital, Manipal and Dr. T.M.A Pai Hospital, Udupi.
May 21, 2016
The programme was conducted in the morning from 10.00 am to 12.00 pm at Manipal College of Nursing Manipal. A total of 17 staff nurses attended the CNE. MC for this programme was Anju Grace Philip. Sessions were taken by Dr. Praveena Joglekar Pai, Dr. Sonia R B D’souza and Miss. Jeethu Tressa Mathew. Dr. Praveena Joglekar Pai dealt with the topic on Ethics in Obstetrics including ethical issues in MTP and issues in pregnancy and Assisted Reproductive Technique.
Dr.Sonia R B D’souza dealt with “Overview of obstetrical emergencies” (Ante Partum Haemorrhage and Post Partum Haemorrhage).
Miss. Jeethu Tressa Mathew dealt with medical and nursing management with protocols for Ante Partum Haemorrhage, Post Partum Haemorrhage, Preeclampsia and Eclampsia and Massive Blood Transfusion Protocol (MTP Box). It was an interactive session in which participants actively participated. Group activity such as identifying the condition and the nursing management for a particular scenario was carried out. New information on the topic was provided which includes recent updates in the medical and nursing management. At the end of the session feedback was taken. The feedback given was that the sessions were very good, the content was clear and understandable and the information provided will be useful in care of patients with obstetrical emergencies during and after pregnancy. The programme was winded up by the vote of thanks given by Miss. Anjali Gupta, 2nd year MSc nursing student of MCON Manipal.
Obstetrical emergencies are life-threatening medical conditions that occur during the entire pregnancy. There are a number of illnesses and disorders of pregnancy that can threaten the well-being of both mother and foetus. Obstetrical emergencies may also occur during active labor, and after delivery. Some obstetrical emergencies of pregnancy are like placental abruption, placenta previa, preeclampsia/eclampsia etc. Obstetrical emergencies can be caused by social and biological factors, including stress, trauma, genetics and other variables.
Nursing management includes feto-maternal assessment, prevention of complications by continuous monitoring of vital signs and other signs and symptoms, providing information regarding the condition as well as the plan of care. The management of one mother and foetus heavily affects the management of the other.
It is important that midwives prepare themselves to assess the potential emergencies, to orient themselves to the establishment of early warning system, first responders, and conducting emergency mock drills and how to debrief the staff in the post- event. Each hospital has their own specific protocol for emergency situations, which guides the nurse midwife to provide a quality care in an effective manner in any obstetrical emergencies.