Labor and Delivery: Birth part 1 Flashcards
When can braxtion hicks contractions start
20wks
What are some signs labor is coming
braxton hicks maybe
lightening (when the baby starts entering the pelvis)
Loss of the mucus plug
nesting (sudden burst of energy)
little weight loss, diarrhea, nausea, and increased backpain
What are some sigsn of lightening
easier to breath
can eat more
When is labor
37-42 weeks
Signs of true labor
cervix moves anterior
pain not releived by walking or resting
fetus is engaged
increased gradual intensifying contractions
What is the hallmark of labor
cervical change
What is the first stage of labor
cervical dilation to 10 cm
decreased thickness of the cervix (effacement)
lasts 6-24 hrs
What is the latent phase of the first stage of labor
0-4cm
contractions 30 seconds
likely to be sent home
What is the active phase of the first stage of labor
5-7cm usu when epidural starts contractions every 2-5 mins refrain from heavy meals Usually last 3-5 hrs Duration: 45-60 seconds
What is the transitioin phase of the first stage of labor
8-10cm
last part
contractions every 1.5-2 minutes last for 60-90 minutes
N/V chills, shaking, and hot flashes are common
this phase lasts 30mins to 2 hrs on average
When does second stage end
birth of baby
When does second stage begin
10 cm dilation and 100% effacement
How long does second stage last on average
10 min to 3+ hrs
Will pain meds kill perineal pain right before birth
no
What meds are given at 3rd stage of labor
oxytocin
When is postpartum hemorrhage most likely and why
4th stage after the placenta is birthed
What s/s are common durign 4th stage
chills and shaking
How long does 4th stage usu last
1-4hrs
What is the noraml blood loss after vag deliv
500 ml
What is the normal blood loss for C-section
800-1000ml
