Normal labor Flashcards
Points to remember for puerperium: 4
•Prevention of sepsis at placental site
• Newborn care
• Initiation of breast feeding
• Role of post-natal exercises
What’s the management of the normal puerperium? 7
• First hour– important for PPH.
• Early ambulation.
• Avoid strenuous activities for 6 weeks.
• 8-10 hours sleep.
• Needs 300 calories more.
• Care of episiotomy stitches if any.
• Care of nipples and areola.
What’s the minor Ailments you gonna treatment?5
• After pains
• Retention of urine
• Pain at site of perineum
• Engorgement of breast
• Treatment of Anemia
What’s the communists complication in puerperium ?
Sepsis but largely preventable
Puerperal Fever within 24 hours is that abnormal or normal in 24 hrs.
Normal
Puerperal pyrexia more than 24 hours in the first 10 days after delivery is that normal or abnormal?
Abnormal.
What the causes of Puerperal pyrexia?5
• Uterine infection
• Breast infection
• Urinary infection
• Thrombophlebitis
• Other incidental infections
What’s the Puerperal Sepsis ?
Infection of genital tract : Delivery-42
days after delivery.
How are you gonna diagnose patient with Puerperal Sepsis ?
2 or > of S&S :
1. pelvic pain.
2. fever 38.50 C.
3. vaginal Discharge.
4. smell of discharge.
5. sub- involution. ( الرحم ما استعاد شكله وحجمه بسبب التهاب )
Risk Factors for Puerperal Sepsis 16.
• Anemia
• Malnutrition
• DM
• Prolonged labor
• Obstructed labor
• Prolonged PPROM
• Frequent vaginal examinations
• Operative delivery
• Un-repaired tears
• PPH
• Poor hygiene
• Poor aseptic technique for delivery
• Manipulations high in the birth canal
• Retained bits of placenta or membranes.
• Pre-existing STDs
What’s the preventive management of Puerperal Sepsis?
• Good antenatal care
• Proper intra-natal care
• Post natal care
What’s the curative management of Puerperal Sepsis?
• General care
• Antibiotics for infection
• Local care of various wounds
What’s the early complication of Puerperal Sepsis ? 7.
• Septicemia
• Septic shock
• DIC
• Pulmonary embolization
• Distant spread of infection
• Kidney failure
• Death
What’s the late complication of Puerperal Sepsis ? 4
• Menstrual problems
• Chronic pelvic pain
• Chronic PID
• Secondary infertility
reasonable time normal delivery time
3-18 hrs
True labor
- Contractions occur at regular intervals
- Intensity gradually increases
- Discomfort is in the back and abdomen.
- Cervix dilates.
- Discomfort is not stopped by sedation
False labor
- Contractions are irregular.
- Intensity remains the same.
- No cervical dilatation.
- Discomfort relieved by sedation.
The show indicates for what?
Labor will begin within 24 hours to 48 hours.
DIAGNOSIS OF LABOR
((Painful contraction))
+
1. Show .
Or
2. Rupture of the membranes.
Or
3. cervical effacement.
In the first stage of the labor, what the duration for the primigravida?
8-12 hrs
In the first stage of labor what the duration of the multigravida
6-8hrs
Lochia rubra
1-4
Blood , fetal membrane, decidua , shreads , lanugo, meconium.
Lochia serosa
5-6
Leukocytes , mucus , exudate microorganism.
Lochia Alba
10-15
Decicual
Cell leukocytes , mucus cholistrin crystals fatty epithelial cells, microorganism.