Pregnancy and Surgical Complications

Participating Organizations: Epic, Mindray, OBIX, Vyaire

During a routine ultrasound, the fetus is diagnosed with a birth defect of the abdominal wall, which requires multiple neonatal surgeries to repair. On delivery day, the mother is admitted to the hospital and vitals are checked for mother and fetus with a fetal monitor. Fetal surveillance results show that the fetal heart rate is absent variability with recurrent late decelerations occurring. Following team discussion, the patient agrees to a C-section. The mother is transported from labor and delivery on a transport monitor, which docks with a bedside monitor in the Operating Room (OR). At that time, the patient is placed on an anesthesia delivery system. During the C-section delivery, the mother experiences a severe reaction to anesthesia with subsequent respiratory failure. While the mother is immediately intubated and placed on mechanical ventilation, the baby is safely delivered. Following delivery, the mother is transported to the ICU where her monitoring is seamlessly transferred to a bedside unit that connects to her ventilator. The newborn is transferred to the care of the NICU surgical team and prepared for surgery to repair the abdominal wall. This showcase follows the care of both mother and baby as they move across multiple care areas with real-time, gapless clinical documentation to their electronic medical records.