labour and delivery Flashcards
what are the 3 signs
lightening: baby’s head descends into the pelvis, the show: mucus plug at the base of the cervix breaks, water breaks
dilation range
up to 10cm
dilation timing
can take 4-8 hours,
6 reasons for c-section
- labour is too long and difficult
- baby’s/mother’s health is in danger
- baby is in “breech” position
- problem with umbilical cord or placenta
- baby gets stuck (pelvis is too small)
- mother has STI (baby can contract in birth canal)
episiotomy
surgical incision the perineum and vaginal wall during the second stage of labour
epidural
pain relief through injection at the spine base. block the transmission of pain signals through nerve fibres in or near the spinal cord
when are births considered premature
birth of a fetus less than 36 weeks gestational age
face (3)
when the baby’s head is extended backwards. This prevents head engagement and descent of the baby through the birth canal. intubation required.
brow (2)
the chin untucked, and the neck is extended slightly backward. the diameter of the presenting part of the head may be too big to safely fit through the pelvis.
breech (2)
legs and buttocks first. can cause traumatic head injury, spinal cord fracture or fatality.
shoulder
when the arm, shoulder or trunk of the baby enter the birth canal first. c-section is almost always used. high risk for brain damage
normal position
head first and chin tucked in. less risk of birth injury and easy to rotate and deliver