NORMAL LABOR AND DELIVERY Flashcards
SCHULTZ MECHANISM
SHINY AND CLEAN
DUNCAN MECHANISM
DIRTY SIDE
RECORD THE:
TIME OF BABY AND PLACENTA OUT
a surgical incision made during childbirth to widen the vaginal opening and allow the baby to pass through:
EPISIOTOMY
is a surgical procedure that involves suturing to repair injuries to the vulva.
Episiorrhaphy
PARTURITION
ACTION/PROCESS OF GIVING BIRTH TO OFFSPRING
PARTURIENT
A WOMAN ABOUT TO GIVE BIRTH, OR IN LABOR
GTPALM
GRAVIDA
TERM
PRETERM
ABORTION
LIVING
MULTIPARITY
no. of times the woman has been pregnant (this includes current pregnancy, miscarriages, abortions and twins/triplets count as one)
Gravidity
Number born (alive and stillborn) at least 37 weeks gestation)
Term births
number born (alive and stillborn) delivered before 37 weeks gestation.
Preterm births
number of lost a pregnancy (elective of spontaneous) before 20 weeks
Abortion
LIVE BIRTHS
LIVING CHILDREN
twins triplets
MULTIPARITY
POSITION
LITHOTOMY
2 TYPES OF EPISIOTOMY
MIDLINE AND MEDIOLATERAL
RMLE
RIGHT MEDIO-LATERAL EPISIOTOMY
PREMATURE SEPERATION
ABRUPTIO PLACENTAE
DIGITAL VAGINAL EXAMINATION
CONTRAINDICATED
ABNORMAL IMPLANTATION OF PLACENTA, PAINLESS BLEEDING, BLEED IS BRIGHT RED
PLACENTA PREVIA
TYPES OF PLACENTA PREVIA
CPML
- COMPLETE
- PARTIAL
- MAGINAL
- LOW-LYING
4 STAGES OF LABOR
DFPR
DILATION
FETAL
PLACENTAL
RECOVERY
PARTOGRAPH
MONITOR PROGRESS OF LABOR AND CONTRACTION
DILATION STAGE
= From the onset of labor (true labor) up to the fully dilatation of Cervix (10 cm)
FETAL STAGE
= From fully dilated cervix up to the delivery of the fetus
PLACENTAL STAGE
= From the delivery of the infant up to the delivery of Placenta
RECOVERY STAGE
= From the delivery of Placenta up to the fully recovered mother.
3 PHASES ON THE FIRST STAGE OF LABOR
LATENT
ACTIVE
TRANSIENT
0-4 CM
LATENT
5-7 CM
ACTIVE
PELVIC EXAMS ARE DONE EVERY
2-3 HRS
DYSTOCIA
FETOPELVIC DISPROPORTION
8-10 CM
TRANSIENT TRANSITIONAL PHASE
= common regional technique (perineal anesthesia during 2nd stage of labor.
Pudendal nerve block
OXYTOCIN OR
METHERGINE
COLOR CODE SA PARTOGRAPH
GREEN - ACTIVE
YELLOW - ALERT
PINK - ACTION
BEmONC
BASIC EMERGENCY OBSTETRIC AND NEWBORN CARE
CEmONC
COMPREHENSIVE EMERGENCY OBSTETRIC AND NEWBORN CARE
FULL TERM
38-42 WKS
BORDERLINE
37 WKS
PRETERM
36 WKS AND BELOW
EDC
EXPECTED DATE OF CONFINEMENT
RULE FOR EDD
NAEGELE’S RULE