Conservative Management of OB Patients with Hypertensive Disorders

Benchmark - Capstone Project Change Proposal: Conservative Management Of Ob Patients With Hypertensive Disorders
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Conservative Management of OB Patients with Hypertensive Disorders
Background
Hypertensive disorders contribute about 6-8 percent of complications in pregnancies (Macedo et al., 2020) and contribute a significant percentage of maternal mortality. Socioeconomic and demographic factors are the main contributors to this problem, as Macedo et al. (2020) further note. The lives of mothers and the unborn are essential, and the issue needs to be addressed effectively. It only means that healthcare quality is a primary factor to consider in saving pregnancies. Third world countries face many problems that even the healthcare sector cannot effectively address preventable problems like hypertension in OB patients (Chappell et al., 2019). However, the issue cuts across all countries.
Problem statement
The world has lost several women to their infants to hypertension. The issue has raised the alarm and needs to be urgently addressed to minimize women's cases and their infants dying. Different scholars have studied the problem but have not exhausted all the helpful options. Again, knowledge is progressive, and new understanding improves the existing one in improving the healthcare sector. This study aims to finds out whether conservative management helps OB patients with hypertension.
Purpose of the change proposal
Conservative management entails avoiding invasive measures like surgery to treat a disorder (Macedo et al., 2020). Most times, pregnant women have an extreme hormonal imbalance, making them resist some primary conservative management treatment like lifestyle moderations. Some of them insist on eating some junk foods in the name of cravings. Some are also lazy to carry out physical exercises as advised by their counselors. However, conservative management is the best remedy for OB patients with hypertensive disorders (Amro & Sibai, 2020).
It is always essential to make an accurate diagnosis, especially on pregnant women. Evidence-based solutions work better to save the lives of pregnant women with these conditions. The first step involves making the correct blood pressure measurements for proper treatment (Bouter & Duvekot, 2020). Taking the wrong measures can be very detrimental because the false condition will be treated. Once a diagnosis is made, it is vital to act quickly, given the danger of hypertension, especially on vulnerable patients like pregnant women. Acting would involve reaching out to the patients' close family or friends and making successful conservative management for the OB patient. Hypertension patients, especially pregnant women, are susceptible. Physicians need to deal with them carefully by communicating in a friendly manner to avoid lowering their self-esteem.
The primary goal of any healthcare is patient care. Pregnant women with hypertensive disorders, therefore, need a comprehensive healthcare plan to shelve them. Chappell et al. (2019) say that the healthcare plan should include frequent visits to a physician during pregnancy, prenatal counseling, monitoring and care, timely delivery, and follow up. Counseling is essential because it makes the mother aware of all the underlying risks of her condition. Stress is an underlying risk that counseling helps to minimize (Bianco, 2020). Frequent clinical visits covered in the healthcare plan also help in ensuring that the blood pressure is stable.
The nursing care plan for OB patients with hypertension disorders includes the dedication to control and lower blood pressure (Bianco, 2020), lifestyle moderations, and prevention of complications. These real risks can bring down an OB patient and even cause death. Lifestyle moderation in an expectant mother is a factor that should be taken seriously. Eating junk food and lack of routine fitness training are some of the lifestyles that need regular checking. Fitness training ensures that the body is free of stress hence ensuring that the blood pressure is normal. The mother should generally participate in activities that reduce blood pressure and manage stress.
PICOT Question: Is conservative management helpful for OB patients with hypertensive disorders?
Literature review
Hypertensive disorders in pregnancy are the leading causes of maternal and perinatal morbidity and mortality (Taj, Akhtar, Mehnaz, S., & Furqan, 2017). .The conservative management of hypertensive disorders in pregnancy is extensive. The National Institute for Care and Health Excellence (NICE) recommends various measures to curb complications associated with hypertensive pregnancy conditions, such as preeclampsia and eclampsia. Some of these methods include assessing hypertensive related symptoms in pregnancy, antiplatelet agents, nutritional supplements, and appropriate diet.
NICE also advises on rest, exercise, and work to women with chronic hypertension or at risk of hypertensive disorders. The ones with existing conditions such as diabetes require extra follow up and attention. Evidence supports conservative management of patients with adverse gestational hypertension characteristics between 24 and 32 weeks (Rebarber, 2019). Studies suggest that conservative management for hypertensive pregnant women who are more than 24 weeks of gestation is associated with severe maternal complications (Rebarber, 2019). Thus, expectant hypertensive mothers who are more than 24 weeks of pregnancy should receive the experimental therapy. The crucial strategies applied in conservative management included bed rest, health assessments and examinations, a fetal assessment like ultrasound or non-stress tests, and the use of steroids before 34 weeks of gestation. There should be enhanced attention to conservative management evaluation, which encompasses weight, blood pressure variations, fetal movement, proteinuria levels, and general symptoms. Thus, the components of conservative management are broad. The PICOT question in this paper will narrow mainly to the concept of weight management as one of the fundamental approaches to conservative management of pregnancy hypertensive disorders.

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Title Page

Recurrent Preeclampsia
The Effect of Weight Change between Pregnancies

The Role of Obesity in Preeclampsia

Management of Hypertension in the Obese Pregnant Patient

Authors

Mostello, Chang,Allen, Luehr, Shyken, & Leet (2010).

Roberts, Bodnar Patrick & Powers, (2011).

Coroyannakis & Khalil (2019).

Introduction

There is a strong relationship between a maternal pre-pregnancy body mass index (BMI) and preeclampsia recurrence. The gestational age at delivery for the first pregnancy complicated by preeclampsia tends to complicate the fir...