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28.4: Chapter 18

Last updated

Oct 30, 2024
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- 28.3: Chapter 13
- 28.5: Chapter 19

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Unfolding Case Study

36-year-old, G1 P0; induction of labor; gestational diabetes; 39 weeks’ gestation; urine positive for GBS; 36-week ultrasound indicates EFW 3150 g (7 lb); fundal height at 39 weeks is 40 cm; allergy to penicillin

Rationale: Age is >35, parity, 39 weeks with gestational diabetes and possible macrosomia, need to treat GBS with PCN alternative during induction.

Prenatal Data	Risk Factor	Not a Risk Factor
Gestational diabetes	■	□
Estimated fetal weight (EFW) of 3,150 g at 36 weeks’ gestation	■	□
A negative	□	■
36 years old	■	□
GBS status	■	□
BP range 118–128/64–80	□	■

Rationale: Age, gestational diabetes, and the EFW increase the risk for prolonged labor and cesarean birth. Gestational diabetes and EFW increase the risk for labor shoulder dystocia.

GBS status increases the risk for infection.

Blood type and BP range are normal and not linked to complications of labor.

Unfolding Case Study

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