Chapter 16 - 2 Flashcards
passenger
fetus plus membranes and placenta (fetal head most important)
over ____ % head down in delivery
95
DIAMETERS OF THE FETAL SKULL
Suboccipitobregmatic- Face avg 9.5 cms
Submentabregmatic- Vertex avg 9.5 cms
Occipitofrontal- Military avg 11.75 cms
Occipitomental- Brow avg 13.5cm
presentation
The part of the fetus that lies over the inlet
cephalic presentation
96- 97% vertex military brow face
breech presentation
3-4%
frank
full
footling
mechanisms of labor
how fetus comes out of the pelvis
engagement
top of head comes to zero station, means the presentation part won’t move anymore, stationary set because largest part
when baby drops to engagement then at
zero station
postion
can affect how baby comes out; helps with cardiac output
why do contractions start
Decreased progesterone & increased estrogen
Increased prostaglandin caused by release of fetal glucocoricoids/androgens
stretching, pressure and irritation of the uterus and cervix
Premonitory Signs of Labor
Braxton Hicks contractions also called FALSE LABOR
Lightening
Increase in clear and nonirritating vaginal secretions
“Bloody show”
Energy spurt
Small weight loss
backache (bc pressure of baby dropping)
Stages of Labor
Second stage– Pushing
Third stage—placental
Fourth stage– recovery
first stage
primagravida 20hrs multipara 14hrs Latent phase– 0-3 CMS Active phase– 4-7 CMS Transition phase– 8-10 CMS