birth (1) Flashcards
mild contractions begin ___ min apart and last ____seconds
15-20
60-90
will get closer together
“active labor”
strong contractions 45-60 seconds
3-4 miles apart
blood tinged mucus discharge
bloody show
how are uterine muscles different
fibers stay shortened during relaxation phase
phases that uterine contractions cause
retraction->effacement and dilation
what is effacement
contractions pull up and shorten the cervix
dilation
cervix widens as contractions continue
full dilation=
10 cm
hydrostatic dilator
forewaters
forewaters
fluid filled amniotic membrane presenting in front of fetal head
active 1st stage
dilates___
hrs____
4-7 cm
3-5 hrs
want to be at the birthplace!!
3 stages of 1st stage
latent, active, transition
transition: last of 1st
cm
min
8-10 cm
30-90 min
peak pain
2nd stage
___min to hrs
begins: crowning and ends w/ birth
30
what is labor down
natural lull, rest, dont push
dont hold breath longer than…
6 seconds
3rd stage begins___ends___
time?
birth of baby, birth of placenta
5-50 min
hormone stimulates contraction of uterus
oxytocin
used to identify placental detachment
Credes method
Credes’ method is
pull cord while pushing on fundus (where placenta is)
blood loss during delivery
250 mol
retention of placental parts
hemorrhage, managment (D&C dilation and curettage) to remove offending parts,
duplex
succenturiate
circumvallate
multi
small addition
double back on fetal side
4th stage =
aftercare
4th stages begins w/….
ends w…
lasts 4-6 hrs
birth of placenta
recovery
