Maternity (done) Flashcards
what are the 4 causes of post partum haemorrhage
tone
truama
tissue
thrombin
when can secondary post partum haemorrhag happen
after 24hours
when can a post partum haemorrhage happen
can happen within 24hours of giving birth
what is classed as a post partum haemoorhage
blood loss above 500ml
what are the signs and symptoms of preeclampsia
blood pressure abover 140/90 abdnominal pain blurred vison, headache and irritablity swollen protein in your urine
what do you not do if a mum has a a cord prolapse
sit them on a chair- can stop baby getting nutrients
what is a cord prolapse
when an unborn baby umblical cord slips through the cervix and vagnia after mothers water break before baby descneds into birth canal
what is placenta preavia
adbnormal sitting of the placenta on top of the cervix
what to do if a mum with placenta preavia starts bleeding
do not hang around
how do you know if a mum has placenta preavia
if they had the 20 weeks scan they will be diagnosed with it
when should you complete an APGAR score
1 minute after brith
and
5 minutes after
what score should you be worried about ono the APGAR score
below 7 needs resusitation an above 7 is healthy
what does the apgar score stand for
activity
pulse
grimace
appearance
respiration
what is the apgar score
to asses the physical condition of a new born baby
how long to try and stimulate the baby before moving to new born life support
if not breathing afte 60-90 seconds
what is your intial new born baby assesment
dry and stimulate
prevent hypothermia
asses- colour, tone, heart rate breathing
why must we get mom out the water as soon as she gives birth
3rd stage of labour cant happen in the water
why do we bring the baby out the water head first
becuase baby takes first breath as soon as any part is exposed to normal temp
what to remember in a water birth
do not touch the baby
ensure mum does not bring baby in and out the water
bring baby up head first (baby takes first breath as soon as any part is out the water)
get mum out the water as soon as possible
once babies head is out how long can in take for the shoulders to come
up to 2 minutes- need 2 full contractions before you can diagnose it s being stuck
what are the signs that birth is imitate
explosive contractions instinct push grunting nose facial congestion change in behaviour not wanting to be touched uncooperative
when can we convey to hospital in labour
no sign of the second stage
confident you cvan make it before the baby comes
when is it too late to convey to hospital
any signs of the second stage of labour
if you not made a full assesment
you can see the baby
what shall we give for pain in birth
enternox
why do we not give paracetamol in pregnancy
it prolongs labour
what questions should we ask in terms of pregnancy
gestation
pattern of contractions and onset
any active bleeding
membrane intact
previous birth hsitory
place of booking
what is adrenline in term of pregnancy
counter hormone to pregnancey
what is melatonine
produced at night to help you relax and go to sleep
what is oxytocin
main hormone that produces a postive feedback loop
what are the 3 pregnancy hormones
oxytocin
melatonnine
adrenline
what age do we not resusitate babies
bellow 21 weeks and 6 days
what is the 3rd trimester
24- 40 weeks
what is the second trimester
12- 24 weeks
up to how may weeks is classes as a miscarriage
24 full weeks
what are the weeks of the first trimester
furtilation- 12 weeks
what is mucon
a babies first poo
how long is the umblicial cord
15-20 cm
what is the umbilical cord made up of
2 arteries and a vien
what are the functions of the placenta
respiratory gas exchange
transportation of nutrients
excetion of waste products
transfer of heat
hormone production
formation of a barrier
when does the placenta start functioning
day 14
what is the first thing that develops in pregnancy
placenta
where can ectopic pregnancy’s be found
fallopian tubes
how long are the fallopian tubes
approx 10-12 cm
