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
