Labour + Delivery + postpartum + newborn Flashcards
what are the 5 P’s of labour
1) Passenger
2) passageway
3) powers
4) position of mother
5) psychological response
What are the external forces effecting labour?
- place of birth
- type of provider
- availability of labour support
- procedures
what are the internal forces effecting labour?
-physiology / sensations
does the placenta usually cause birthing complications?
NO it rarely impedes the labour process
What are the factors that effect the passenger
- size of fetal health
- Fetal presentation
- fetal lie
- fetal altitude
- fetal position
what are the 3 parts of fetal position
- fetal lie
- fetal attitude
- fetal position
what are sutures
the cranial joints
what are fontanelles
where the sutures intersect
the soft spots on babies head
what shape is the front fontanelle
diamond (large)
what shape is the back fontanelle
triangle (small)
during labour… the sutures & fontanelles are:
flexible to accommodate brain growth
can slide over each other (mould) to fit maternal pelvis
when will the brain assume its normal shape after birth?
It’ll take shape 3 days after
do the babies shoulders usually cause an issue at birth?
No they can be moved so they usually aren’t problems
what is the fetal “presentation”
The part the enters the pelvic inlet first
What are the 3 main presentations
- Cephalic
- Breech (butt or feet)
- shoulder presentation
what percentage of births are cephalic
96%
what percentage of births are breech
3%
what percentage of births are shoulder
<1%
what would be the region presented for cephalic
the occiput (vertex)
what would be the region presented for breech
the sacrum
what would be the region presented for shoulder
the scalpula
What is the fetal lie
The relation of long axis (spine) of fetus to long axis (spine) of mother
What are the types of fetal lies
- Longitudinal/vertical
- transverse / horizontal
- oblique
what is a longitudinal lie
paralel axis’s with mom