Emergency Childbirth Flashcards
0
Q
What is contained within the Quick Look?
A
- Does the woman look pregnant
- Have her waters broken
- Contractions - regular, powerful
- Signs of breathlessness/shock
- Signs of anaemia
- Is the baby kicking
- Foetal heart sounds
- BP and urine test
1
Q
What is asked in the Quick History
A
- Duration of pregnancy
- Age of expectant mother
- Number of deliveries
- Previous complications/pregnancies
- Any illnesses during pregnancy
2
Q
What is the First Stage of Labour?
A
From the onset if regular, rhythmic and painful contractions to the full dilation of the cervix.
3
Q
What is the Second Stage of Labour?
A
From the full dilation of the cervix to the complete delivery of the baby.
4
Q
What is the Third Stage of Labour?
A
From the birth of the baby to the complete expulsion of the placenta and membranes.
5
Q
What are the treatment aims for the mother?
A
- Prevent infection
- Prevent other trauma
- Relieve pain
6
Q
What are the treatment aims for the baby?
A
- Resuscitate
- Maintain body heat
- Prevent trauma
7
Q
What is the management of the second stage of labour?
A
- If cervix not fully dilated, encouraged to pant.
- Cervix fully dilated, encouraged to push.
- The baby’s head moves down birth canal.
- Position yourself on the mothers right side.
- Holding a dressing pad one hand on the anus supporting perineum.
- Other hand on baby’s head.
- Allow head or emerge slowly.
- Baby’s head facing down.
- Will rotate to one side.
- Clear baby’s mouth and nose of mucus.
- Ensure umbilical cord not wrapped around neck.
- Place hands on either side of baby’s head.
- Guide head downwards on next contraction.
- Uppermost shoulders visible, guide upwards.
- Lay baby onto mothers abdomen, or clean warm cloth.
- Baby will go from blue to pink.
- Wrap baby in warm protective covering and handed to mother.
8
Q
What is the management for the third stage of labour?
A
- Observe mother for flow of blood from the vagina, as the umbilical cord appears.
- Encourage to push on every contraction until placenta delivered.
- Ease the placenta out with membrane.
- Keep placenta below baby.
- Apply umbilical clamp.
- Placenta and membrane kept for observation by midwife or obstetrician.
9
Q
How do we care for mother and baby?
A
- Mother and baby checked by midwife or obstetrician as soon as possible.
- Mother and baby kept warm and dry.
- Mother observed for excessive vaginal bleeding - Indication of incomplete placenta delivery
