INTRAPARTUM STAGE Flashcards
TERM USED FOR “BEFORE GIVING BIRTH”
ANTIPARTUM
TERM USED FOR “DURING BIRTH”
INTRAPARTUM
TERM USED FOR “AFTER GIVING BIRTH”
POST-PARTUM
this is a series of events when the body tries to deliver the baby and the placenta
Labor
5 theories of labor
- Uterine stretch labor
- Oxytocin theory
- Progesterone dehydration
- Aging placenta
- Prostaglandin
this is when the uterus starts to contract to push the baby out
Abdominal contractions
4 factors that influence labor and birth
- Passage
- Passenger
- Relationship between maternal and fetus
- Powers of labor
From uterus to cervix to vagina to external perineum
passage
2 powers of labor
primary power, secondary power
(Choose between primary power or secondary power)
Involuntary uterine contractions and signals the beginning of labor
Primary
(Choose between primary power or secondary power)
use of abdominal muscles to push during the second stage of labor and voluntary bearing down of efforts by the woman
Secondary
(Choose between primary power or secondary power)
Effacement and dilatation of the cervix, and the rhythmic uterine contractions but intermittent
Primary
(Choose between primary power or secondary power)
as soon as the presenting part reaches the pelvic floor, the contractions change in character and become expulsive
Secondary
Shape of the anterior fontanelle of the fetal
Diamond
Shape of the posterior fontanelle of the fetal
Triangle
These two are clinically useful along with the sutures in identifying the position of the fetal head
- Anterior fontanelle
- Posterior fontanelle
4 Factors in passenger during labor
- Fetal head
- Fetal attitude
- Fetal lie
- Fetal presentation
(Choose your answer here: Fetal head, Fetal attitude, Fetal lie, Fetal presentation)
- This defines if Occipital posterior or Occipital anterior -
Fetal head
(Choose your answer here: Fetal head, Fetal attitude, Fetal lie, Fetal presentation)
- vertex, singsiput, brow, face
Fetal attitude
(Choose your answer here: Fetal head, Fetal attitude, Fetal lie, Fetal presentation)
- longitudinal or transverse
Fetal lie
(Choose your answer here: Fetal head, Fetal attitude, Fetal lie, Fetal presentation)
- cephalic, breech, engage
Fetal presentation
This is a fetal presentation where the feet of the baby is located at the direction of the vaginal canal, hips are flexed, may be complete or footling (single/double)
Breech
This fetal presentation is when the head of the baby is facing the direction of the vaginal canal, can be vertex, singsiput, brow or face
Cephalic
This fetal presentation is settling of the presenting part of a fetus far enough into the pelvis to be at the level of ischial spine
Engagement
3 phases of uterine contraction
- Increment
- Peak/acme
- Decrement
