Reply Amanda
Reply Amanda
Question #1
An ultrasound in third trimester could show many clinical indicators of fetal well-being. First it shows us the fetal number-which most likely is already known. It also shows us the baby’s presentation. “If breech, describe the “type” of breech” Frank, Complete, Incomplete, Footling” (TOP, 2017). This ultrasound will also tell us the fetal biometry and estimated fetal weight, Amniotic Fluid Volume, Placentation, Fetal movements, and Consider re-visualizing select fetal anatomic structures when a third trimester assessment is being performed (TOP, 2017). Its also important to check the babies heart tones and the mother’s vital signs, particularly the blood pressure. Always ask if the mother is having any bleeding, leaking, constant contractions and is she feeling the baby move well. It is also important to check the mother’s urine.
Steps to take if findings are not reassuring during third trimester depend on the finding. If the baby is breech. External cephalic version is one way to turn a baby from breech position to head down position while it’s still in the uterus. It involves the doctor applying pressure to your stomach to turn the baby from the outside(Healthline, 2018). For high blood pressure and signs of preeclampsia, “You may have to stay at the hospital for observation and to manage your blood pressure until the baby is old enough for delivery. If your baby is younger than 34 weeks, you will probably be given medication to speed up the baby’s lung development”(Healthline, 2018). For most findings that are not reassuring the patient will be sent to the hospital for monitoring for mother and baby.
Healthline. (2018). What Might Go Wrong in the Third Trimester?. Retrieved on February 23, 2019 from https://www.healthline.com/health/pregnancy/third-trimester-complications#post–term
Toward Optimized Practice (TOP). (2017). THIRD TRIMESTER FETAL WELL-BEING STUDIES: CRITERIA AND MANAGING RESULTS. Retrieved on February 23, 2019 from http://www.topalbertadoctors.org/download/2129/Third%20Trimester%20Fetal%20Well-Being%20Studies.pdf?_20180914050143
Reply Hollie
