A woman in Springfield, MA, presents for care, reporting abdominal pain. She states that the pain began several hours ago, and she believes the cause might be a store-bought sandwich she had eaten the night before. When questioned by the triage nurse, she says she has experienced some nausea with vomiting and diarrhea, described as loose to watery. Her medical history, medications, and allergies are unremarkable. The date of her last menstrual period is vague, but she denies being pregnant. She rates her pain as greater than 8 out of 10 and is brought directly to a room. Before the primary nurse can go into the room, the patient begins screaming. Several staff respond, and after a quick assessment, they determine the woman is in labor. The baby’s head is crowning. When asked about her obstetrical history, she acknowledges 2 prior pregnancies, both vaginal deliveries, with 2 healthy children at home. Twenty minutes later, a healthy baby girl is born. The placenta is delivered without incident, and the mother and baby are transferred to the labor and delivery (L&D) unit and nursery department for further management.
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- Massachusetts woman finds out she’s in labor after going to the hospital for abdominal pain.http://abcnews.go.com/Health/massachusetts-woman-finds-shes-labor-hospital-abdominal-pain/story?id=35022012(Published November 6, 2015. Accessed March 14, 2016)
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- Best evidence: VBAC or repeat C-section.Updated November 16, 2012. Accessed March 14, 2016)
- Placenta accreta.Updated August 2015. Accessed March 14, 2016)
- Preeclampsia.Updated February 4, 2016. Accessed March 14, 2016)
- Obstetrical patients in the emergency department.Updated May 2011. Accessed March 14, 2016)
- Part 15: neonatal resuscitation: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care.Circulation. 2010; 122 (http://circ.ahajournals.org/content/122/18_suppl_3/S909.full.pdf+html. Accessed March 14, 2016): S909-S919
Rosalinda S. Hulse is Education Specialist, Emergency Department, Antelope Valley Hospital, Lancaster, CA.
Heather Ferrell is Staff Nurse, Antelope Valley Hospital, Lancaster, CA.
Diane Gurney, Member, Central MA Chapter ENA, is Emergency Nursing Education Professional and Consultant, Athol, MA.
Published online: April 08, 2016
Section Editors: Andi L. Foley, DNP, RN, CEN, ACCNS-AG, and Diane Gurney, MS, RN, CEN, FAEN
Submissions to this column are encouraged and may be sent to
Andi L. Foley, DNP, RN, CEN, ACCNS-AG [email protected]
Diane Gurney, MS, RN, CEN, FAEN [email protected]
© 2016 Emergency Nurses Association. Published by Elsevier Inc. All rights reserved.