Emergency Childbirth

Question 1

What is a anternetal record

Answer 1

standard doc for all preg women (should be in one place and accessible)

Question 2

When technically does the preg start at

Answer 2

first day of the last menstrural period

Question 3

what does gravid mean

Answer 3

Number of pregnancies a women has

Question 4

How does the hx of herpes affect childbirth

Answer 4

If pt has active general lesions at the time of delivery, the baby must be delivered via Caesarian section because the baby could be transmitted to the disease

Question 5

how does mother anxiety/depression affect childbirth

Answer 5

mothers w clinical anxiety, family issues, depression are cared w for an extra 5 days in hospital w extra sleep at night and an assurance that the baby is latching properly before they go home

Question 6

rubella and childbirth

Answer 6

mothers that have been exposed to rubella during preg w/oo immunization are at risk of passing the disease on to the baby

Question 7

when are teratogens usually not effective yet

Answer 7

During first 10-14 days post conception the embryo is not at sig risk of being affected

-After 2 weeks the fetus is at risk

Question 8

What is labour

Answer 8

regular rhythmic contractions of the uterus that change the cervix (softens/enlagres)
-you can have contractions but if they don’t change the cervix its a False Labour

Question 9

What is stage one of childbirth

Answer 9

Latent phase

Question 10

how long does the latent period last and how dilated is the mother

Answer 10

can last hours and is about 1-2cm dialated

Question 11

what are the signs of the latent phase

Answer 11

first signs are LBP and irregular contractions

-can generally last up to 12 hrs (+10hrs in subsequent pregs)

Question 12

What should be done first aid wise in stage one

Answer 12

simple reassurance for the mother and preparation for later stages
(eg get them where they intend to give birth)

Question 13

for delivery to be imminent at least two of the following must be present

Answer 13

1. regular contractions at one-two min intervals
2. An urge to push or bear down
3. Crowning- top of head is visible in vag

–If all 3 signs are happening, be prepared to deliver the baby within 1/2 hour

Question 14

what is stage 2 of childbirth called

Answer 14

the active phase

Question 15

how large does the cervix get during stage 2

Answer 15

cervix goes from 2-3 to 10cm (second stage occurs when it gets to 10cm)

Question 16

how long does stage 2 typically last

Answer 16

30-2hrs in the first labour

10-60 muns in subsequent

Question 17

how to deliver the shoulders

Answer 17

once cleared the head, bring the baby down so the sup shoulder can clear symphysis pubis and then deliver bottom shoulder

Question 18

steps of the birthing process (active phase)

Answer 18

1Head floating/before engagement

1Head pushing down on cervix and the head is flexed so it can fit under the symphysis pubis (most get stuck here)

2. further descent, internal rot (called occiput anterior, which is easiest way for baby heaf to fit)
3. Complete rot, begin extension (Babs head is putting major pressure on rectum(
4. Complete extension (head has cleared the symphysis pubis and is visible)
5. Restitution (external rot)- the babys head will restitute one way or the other in alignment w shoulders`

Question 19

what is stage 3 of childbirth

Answer 19

Delivering the placenta

Question 20

how long does it take for the placenta to come out

should be kept for inspection

Answer 20

few mins to several hours after

Question 21

what to do with the cord post delivery

Answer 21

clamp the cord in 2 places midway bw the baby and vagina

-cut cord w sterile scapula

Question 22

If the baby is not breathing/crying/gasping what should be done

Answer 22

flick the feet hard or vigorously rub the babys back with a towel, if these do not work, begin resuscitation