17P (hydroxy progesterone caproate injections)

It is known that 17P injections decrease the probability of having a preterm delivery in patients who have delivered prematurely before.  It is usually started between the 16-20 weeks of pregnancy and given  weekly  until the 36-37th week of pregnancy.  Our nurses will visit the patient and administer the injection every week for the indicated period of time.  The medication and the  supplies required for its administration  will be provided by us. Our staff will contact the patient weekly to verify compliance and the referring obstetrician will receive regular reports.

Subcutaneos antiemetic therapy

Some patients develop nausea and vomiting during pregnancy that is not alleviated by the usual oral  medications. Sometimes patients have severe vomiting and loose significant weight.  This could also lead to dehydration and admissions to the hospital for intravenous hydration and medications.

Our program consists of the use of a  continuous subcutaneous infusion pump with Zofran to help decrease the episodes of nausea and vomiting. The patient will be visited  by  our nurses who will  educate them about signs and symptoms of dehydration as well as recommended diet and nutritional advice.  The patients will be contacted on a daily basis by our nurses to see how they are responding to the therapy, provide nutritional advice and  titrate  the doses of the medication according to patient’s response. There is also 24/7 nursing availability over the phone to answer any questions.  The patient’s doctor will receive a weekly status report explaining the patient’s condition.

Vitapro

 

Zofran Pump

This program provides home care through nurses and telemedicine services.  The medical supplies and equipment can be provided in 24 hrs., 7 days a week, including the access to nurses.

Hyperemesis: Means the presence of sickness, intense and persistent vomits during pregnancy that can lead to dehydration. Almost all woman experiment symptoms during the 1st trimester of pregnancy. It is believed that it’s caused by a rapid elevation of the Hormona Gonadotropina Corionica human hormone secreted by the placenta.

Commonly, it starts to alleviate by the end of the 3rd month of pregnancy, even though occasionally it persists during the whole period.  It can occur at any moment of the day and last minutes or hours.

Candidate to Zofran service:

  • Patients that don’t respond to the treatment by mouth
  • Frequent sickness & vomits
  • Doesn’t tolerate food
  • Weight loss of 3lbs. or more
  • Frequent visits to the Emergency Room

The home service is constituted by multi-disciplinary team, which includes:

  • Obstetric nurses in a monitoring center
  • Visiting nurses
  • Pharmacists
  • Medical division
  • Case management
  • Marketing Representatives

This program provides home care through nurses and telemedicine services.  The medical supplies and equipment can be provided in 24 hrs., 7 days a week, including the access to nurses.