Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

620
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
620
Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

457
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
457
Intrauterine Drug Delivery Systems01:21

Intrauterine Drug Delivery Systems

164
Controlled-release systems for intravaginal and intrauterine drug delivery have been developed primarily for the administration of contraceptive steroid hormones. These delivery routes circumvent first-pass hepatic metabolism, thereby enhancing bioavailability and allowing for reduced systemic dosages compared to oral administration. Such approaches contribute to improved therapeutic efficacy and patient compliance, particularly in long-term contraceptive regimens.Intravaginal Drug Delivery...
164
Mitral Valve Prolapse III: Nursing Management01:19

Mitral Valve Prolapse III: Nursing Management

570
The nursing management of Mitral Valve Prolapse, or MVP, centers around patient education, symptom monitoring, and lifestyle modifications.Patient Education on MVP Diagnosis and Heredity: Nurses should provide comprehensive education about MVP, a condition where the mitral valve does not close appropriately during heartbeats. This education often includes the condition's pathophysiology, symptoms, and potential complications, like arrhythmias or mitral regurgitation. Though not fully...
570
Endotracheal Intubation II: Nursing Management01:17

Endotracheal Intubation II: Nursing Management

3.7K
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
3.7K
Endotracheal Intubation I: Procedure01:15

Endotracheal Intubation I: Procedure

13.8K
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
13.8K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

The need for pharmacotherapy among patients with one or more elevations on glucose tolerance test.

The Journal of clinical endocrinology and metabolism·2026
Same author

Acquired Hemophilia A: A Rare, Acquired Coagulopathy in the Postpartum Setting.

AJP reports·2023
Same author

Cardiovascular Care for Pregnant Women With Cardiovascular Disease.

Journal of the American College of Cardiology·2020
Same author

Loss of the transforming growth factor-β effector β2-Spectrin promotes genomic instability.

Hepatology (Baltimore, Md.)·2017
Same author

Prolonged latency of preterm premature rupture of membranes and risk of neonatal sepsis.

American journal of obstetrics and gynecology·2016
Same author

Prolonged latency of preterm premature rupture of membranes and risk of cerebral palsy (.).

The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·2015

Related Experiment Video

Updated: Apr 26, 2026

Continuous Telemetric In Utero Tracheal Pressure Measurements in Fetal Lambs
05:40

Continuous Telemetric In Utero Tracheal Pressure Measurements in Fetal Lambs

Published on: December 22, 2023

734

Intrapartum obstetric management.

Heather Levin1, Anita LaSala1

  • 1Department of Obstetrics and Gynecology, Columbia University Medical Center, 622 W 168th St, PH-16, New York, NY.

Seminars in Perinatology
|July 20, 2014
PubMed
Summary

Managing pregnant patients with cardiac disease requires specialized intrapartum care. Key adjustments include endocarditis prophylaxis, anticoagulation, fluid management, and enhanced maternal cardiac monitoring for safe delivery.

Keywords:
analgesiaanticoagulationcardiac diseasecesarean deliveryendocarditis prophylaxisfluid managementhearthemodynamic monitoringhemorrhageintrapartumlaboroperative deliveryoxygen supplementationpacemakers/AICDpostpartumpregnancypregnancy physiology

More Related Videos

Instrumentation of Near-term Fetal Sheep for Multivariate Chronic Non-anesthetized Recordings
14:40

Instrumentation of Near-term Fetal Sheep for Multivariate Chronic Non-anesthetized Recordings

Published on: October 25, 2015

8.3K
Mouse In Vivo Placental Targeted CRISPR Manipulation
07:39

Mouse In Vivo Placental Targeted CRISPR Manipulation

Published on: April 14, 2023

3.7K

Related Experiment Videos

Last Updated: Apr 26, 2026

Continuous Telemetric In Utero Tracheal Pressure Measurements in Fetal Lambs
05:40

Continuous Telemetric In Utero Tracheal Pressure Measurements in Fetal Lambs

Published on: December 22, 2023

734
Instrumentation of Near-term Fetal Sheep for Multivariate Chronic Non-anesthetized Recordings
14:40

Instrumentation of Near-term Fetal Sheep for Multivariate Chronic Non-anesthetized Recordings

Published on: October 25, 2015

8.3K
Mouse In Vivo Placental Targeted CRISPR Manipulation
07:39

Mouse In Vivo Placental Targeted CRISPR Manipulation

Published on: April 14, 2023

3.7K

Area of Science:

  • Cardiology
  • Obstetrics
  • Maternal-Fetal Medicine

Background:

  • Maternal cardiac disease affects 1-2% of pregnancies in the US.
  • These patients have unique needs during labor and delivery.
  • Both congenital and acquired cardiac conditions require tailored management.

Purpose of the Study:

  • To highlight specialized management needs for pregnant patients with cardiac disease during the intrapartum period.
  • To emphasize necessary adjustments to standard labor and delivery protocols.
  • To promote a multidisciplinary approach for optimizing patient outcomes.

Main Methods:

  • Review of essential management principles for intrapartum cardiac patients.
  • Identification of key areas requiring protocol adjustments.
  • Emphasis on collaborative care among anesthesia, cardiology, and obstetrics.

Main Results:

  • Standard labor and delivery protocols need modifications for cardiac patients.
  • Specific considerations include endocarditis prophylaxis, anticoagulation, and fluid management.
  • Increased maternal cardiac monitoring is crucial.

Conclusions:

  • Intrapartum management of pregnant women with cardiac disease demands specific adaptations.
  • A multidisciplinary team approach is vital for safe delivery.
  • Tailored care based on individual cardiac conditions ensures optimal maternal and fetal outcomes.