L4: Labor (Management) Flashcards
Managment of Labor
- 1st stage
- 2nd Stage
- 3rd Stage
- 4th Stage
- Care of Newborn
Managment of Labor
- 1st Stage
Management of 1st stage of Labor
- Position
Management of 1st stage of Labor
- Bearing Down?
No, To avoid exhaustion.
Management of 1st stage of Labor
- Nutrition
Management of 1st stage of Labor
- Bladder & Rectum
Management of 1st stage of Labor
- Asepsis
Before any vaginal examination.
Management of 1st stage of Labor
- Analgesia
Pethidine (50 mg) or morphine if labor isn’t expected in 3 hours.
Management of 1st stage of Labor
- Vaginal Examination
Management of 1st stage of Labor
- Time of Vaginal Examination
1) On admission: To ensure onset of labor.
2) After ROM: To exclude cord prolapse.
3) Every 2 hours: To assess progress of labor.
Management of 1st stage of Labor
- Aim of Vaginal Examination
Management of 1st stage of Labor
- Monitoring of Labor
Management of 2nd stage of Labor
- Before Head Delivery
- Head Delivery
- After Head Delivery
Management of 2nd stage of Labor
- Before Head Delivery
Management of 2nd stage of Labor
- position
Lithotomy position on delivery table.
Management of 2nd stage of Labor
- Sterialization & Towelling
…
Management of 2nd stage of Labor
- Evacuation
Evacuation of bladder & rectum.
Management of 2nd stage of Labor
- Bearing Down?
Ask patient to bear down during uterine contractions only & relaxes () contractions.
Management of 2nd stage of Labor
- Observation
Observations for maternal & fetal conditions.
Management of 2nd stage of Labor
- Head Delivery
Aim in Head delivery
Decrease Perineal Lacerations
Head delivery
- When to support Perineum?
As soon as head distends vulva, attendant supports perineum by closed fist of hand & pad of cotton