ALFONSO C.

JAMORA III BSN 2 – C

MARY JANE GENSOLA, RN, MN

CLINICAL INSTRUCTOR

MCN UPDATE

Cesarean Delivery on Maternal Request

Summary:
“Cesarean Delivery on Maternal Request,” issued by ACOG in January 2019, addresses
primary prelabor cesarean delivery on maternal request. It provides research on risks to both
mother and child, physical and psychological factors in decision making, and topics for patient
counseling.
Reflection:
Cesarean delivery is a complex way of giving birth due to its several risk factors to
further pain and anomalies. Early detection or screening of the risks from both the mother and
the child is a huge help in terms of decision making for treatment and procedure and also for
preparation.

Prelabor Rupture of Membranes

Summary:
“Prelabor Rupture of Membranes,” issued by ACOG in January 2018, provides evidence-
based guidelines for the diagnosis, treatment, and management of premature rupture of
membranes (PROM) and preterm premature rupture of membranes (PPROM). PROM is the
rupture of membranes, or water breaking, before the onset of labor. When PROM occurs
before 37 weeks of gestation it is referred to as PPROM.
Reflection:
The guidelines provided by ACOG will be a huge help, some women especially that the
primigravida are not yet familiar with the rupturing of the membrane and also the risk brought
by it. In preparation for labor and delivery, a woman must work closely with her health care
provider on such matters as recognizing the signs of labor.

Use of Prophylactic Antibiotics in Labor and Delivery

Summary:
“Use of Prophylactic Antibiotics in Labor and Delivery,” issued by ACOG in August 22,
2018, explains that the use of antibiotics to prevent infections during the antepartum,
intrapartum, and postpartum periods is different from the use of antibiotics to treat established
infections. It provides a review of situations in which prophylactic antibiotics are frequently
prescribed, and weighs the evidence supporting the use of antibiotics in these scenarios.
Reflection:
Prophylaxis means prevention, and in the context of maternal and child delivery it is
badly needed by a massive number of women. Infections develop through exposure to different
bacteria and infectious process that’s why it is more advantageous for the women to take the
prevention for faster and effective recovery.