Labour and Childbirth Flashcards
Assessment of Pregnant woman
Primigravida or multigravida- how many? Gestation- how many weeks? Contractions - how often and how far apart? Membranes - has water broken? Position of baby Health - previous history Antenatal classes? Previous labours?
First Stage of Labour
onset of painful, regular, strong, rhythmic contractions
dilation of cervix 10cm
initial contractions 15-30Mins apart 10-30secs duration
amnion ruptures, releasing fluid
engagement occurs as infant’s head enters true pelvis
Second Stage of Labour
time between complete dilation until delivery of fetus
Signs of Imminent Delivery
bulging or stretching perineum presenting part on view anal pouting uncontrollable urge to push urge to purge grunting show
Equipment
Obstetric kit - pad, scissors, clamps, bluey
oxygen, y-suction catheters, extra towels, warm environment
Maternal Care
VSS, abdo, complications, monitor fundus and blood loss
Care of Neonate
airway - wipe away mucous and aspirate clamp and cut cord temp - dry and warm baby breathing - allow a min for established resps APGAR
Third stage of labour
placental separation
firm, round fundus at umbilicus
small fresh blood loss
check for completeness
Normal Placenta
has many lobes, smooth rounded edges, even colour
cake like round 15-20cm width 2-3cm depth
Antepartum haemorrhage
bleeding from genital tract after 20 weeks
Pre-eclampsia
high BP, fluid retention, proteinuria
Breech baby
baby exits pelvis with buttocks or feet first
Preterm/cord prolapse
loop of umbilical cord falls past baby
cord comes first
Shoulder dystocia
shoulder cannot pass
Digestive system changes in pregnancy
Uterus presses on bladder
Kidneys filter more but dont absorb as much
Cravings and increased saliva
Increased metabolism
