Problem
A 45-year old patient who has been undergoing fertility treatments for 7 years and with a history of miscarriages, is pregnant and presents to your ED with vaginal bleeding.
Her primary care practitioner's clinic is closed on weekends so she was instructed to go to the nearest hospital ED for evaluation. It was previously confirmed that she is currently pregnant with twins. She presents in the ED with moderate light-headedness and overall weakness.
Her chart includes the following additional information:
G5 P0 (Gravida 5; Para 0)
26 weeks gestation
Vaginal bleeding ~3 days
Hemoglobin = 100g/L (anemic)
Ferritin = 25 ug/L
In a previous exam, she learned that her blood type is AB negative while that of her male partner is O positive.
Task
Make sure to provide in-text citations and references for your answers and provide at least one response including references to a classmate for full marks.
I. Using your understanding of anatomy and physiology developed through course concepts, what is a very important concern for this pregnancy? Explain 'why'.
II. What are the additional physiological considerations for future pregnancies?
III. If this patient were to need a blood transfusion, would her male partner be a suitable donor? Explain why or why not.