Given for HIV infection (dyad, mother & neonate individually)
- Baby with Herpes
- Varicella-Zoster pneumonia in the neonate
Used to treat infections involving yeast.
Used to treat:
- Bacterial Vaginosis
Varicella-Zoster Immune Globulin (VZIG)
Will treat infant infected 5 days before birth up to 2 days after birth.
Actual vaccine is a live, attenuated virus - do not give during pregnancy. Avoid pregnancy 28 days after vaccination
What are the five principles of teratogenic action?
- The period of organogenesis (weeks 2-8) is also the period of greatest vulnerability to tertogenic action.
- Greater potency and greater exposure to a teratogenic agent present greater potential for fetal injury.
- Exposure to specific teratogens correlates with specific fetal injury.
- Genetic pre-disposition to a congenital anomaly may increase potential impact of a teratogen.
- Infectious agents may harm a developing fetus even without evidence of maternal illness.
Define Fetal Alcohol Spectrum Disorder (FASD)
Syndrome caused by maternal alcohol ingestion: characterized by cognitive delays, microcephaly, intrauterine growth restriction, short palpebral fissures, and maxillary hypoplasia
Factors contributing to adolescent pregnancy
- Socioeconomic issues
- Cultural factors
- High-risk behaviors
- Psychosocial and self-esteem factors
Physiologic risks for pregnant adolescents
- Iron deficient anemia
- Preterm birth
- Low birth weight
- Cephalopelvic disproportion
- Preeclampsia and eclampsia
- Also: HIV, nutritional defiencies, STDs
Psycological risks associated with adolescent pregnancy
- Interruption in the progress of maternal developmental needs
- Increased risk for depression
Sociologic risks of the adolescent mother
- Higher risk for social and economic disadvantage
Nutrtional concerns for the adolescent patient
- Potential for increased caloric intake to allow for both maternal and fetal growth
- Irregular eating patterns
- Adequate intake of essential nutrients
What nutrients are more likely to be inadequate of the adolescent patient?
- Folic acid
Primary Prevention (care of adolescent maternity patient)
Strategies implemented to avoid development of a disease process or threat to wellness
- In-school clinics
- Nurtritional counseling
Secondary Prevention (care of adolescent maternity patient)
Early diagnosis and treatment of an existing disease process in the asymptomatic or early stages, before significant morbidity occurs
- Early prenatal care
- Referral for supportive care
Tertiary Prevention (care of the adolescent maternity patient)
Initiation of treatment to reduce the negative impact of a disease process of threat to wellness and/or restore optimal functioning
- Tutoring during pregnancy
- Young Mothers' Support Group
- Day care services