Option of Midwives for Deliveries 
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 Option of Midwives for Deliveries

 RS>What does a midwife do for eclampsia? She can't inject Magnesium
 RS>Sulfate.

Oh, we just kind of look the other way and hope it gets better all by itself.

Seriously, I don't know why you believe that nurses can't administer MgSO4.  
Nurses are the only people I have ever seen give MgSO4.

Let's back up a bit for the benefit of those who don't speak medicalese.  
Eclampsia is one of he gravest complications of pregnancy.  It is
characterized by grand mal convulsions, coma, high {*filter*} pressure, protein in
what little urine is being produced, hyperactive deep reflexes and edema
(swelling).  It is preceded by a condition called, curiously enough,
preeclampsia.  The cause is unknown.

Magnesium sulfate acts as a CNS depressant by decreasing the quanity of a
messenger chemical called acetylcholine that is released by nerves that
control movement.  It is given by nurses VERY carefully, usually by a strict
agency protocol.

A mom presenting with symptoms of preeclampsia has a MEDICAL problem and she
needs a medical doctor.  Delivery without medical management would be folly.  
This person needs the attention of an experienced MD.

Richard DeWald, BSN Student
Univ. of TX - Austin.

--  
Uucp: ...{gatech,ames,rutgers}!ncar!asuvax!stjhmc!382!70!Richard.DeWald



Tue, 04 May 1993 12:43:08 GMT
 
 [ 1 post ] 

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