Create a response to the discussion post of the question by IVONNE ROSADO.
There are many pregnancy-related conditions that require extensive care management. This means that a specialized obstetrician requires involvement due to a higher complexity of care. For instance, the presentation of a gestational diabetes and poor control of hypertension.
These are two conditions during pregnancy that require extensive monitoring and treatment to prevent potential life threatening complications. According to Li et al., insulin resistance within gestational diabetes can predispose the patient to hypertension affecting maternal and fetal outcomes (2018). This can be short term effects during the pregnancy or long term. The management of gestational diabetes and hypertension include the collection of data. This includes blood sugar and blood pressure readings during the pregnancy. Likewise, obstetrical management for hypertension would include monitoring of readings, urine and fetal growth to determine a need for early delivery.
In this case, the provider will constantly obtain enough data that would prevent fetal distress. As Li et al., explains the approach for gestational diabetes includes insulin to control numbers that can affect the mother and fetus (2018). This can be a challenge to the mother since there is necessary diet control and strict blood glucose checks.
In my area of practice, there are available resources to direct patients and staff when it comes to appropriate care access. The presence of high complex cares may require a referral to an obstetrician or family practice provider who handles pregnancies. In my area, there are specialized doctors on site that dont require a referral. Similarly, there are nurses within the chronic diabetes care department that titrate insulin and collaborate with providers. As a result, each provider should acknowledge available resources, properly assess, and refer a mother who requires specialized care.