Problems With The Passage Flashcards
What do you call a narrowing of the passsgeway or birth canal and this can happen at the inlet, midpelvis, or at the outlet?
The narrowing causes CPD , or a disproportion between the size of the normal fetal head and the pelvic diameters.
Problems the passage
What is an inlet contraction?
It is a narrowing of the anteroposterior diameter to less than 11 cm or the transverse diameter to less than 12 cm.
In primi, engagement occurs between 36-38 weeks.
Before 24 weeks, primi mothers should have pelvic measurements
What do you call a narrowing of the transverse diameter at the outlet to less than 11 cm. a distance between the ischia, tuberosities.
Outlet contraction
What is a trial labor ?
Mother has a borderline (just adequate) inlet measurement and the fetal lie and has a good position. It is a way to determine whether labor can progress normally.
What are the 4 nursing managements of a trial labor?
Monitor FHS and uterine contractions
Urge the woman to void q 2 hours
Assess FHT after rupture of the membranes
Schedule for cesarean birth after 6- 12 hours of no progress in labor.
What is an external cephalon version?
Turning of the fetus from a breech to a cephalic position before birth. It may done in 34-35 weeks. Although 37-38 weeks
What re the 4 nursing managements of external cephalic version?
FHR and ultrasound must be taken
A tocolytic agent may be administered
The breech and the vertex of the fetus are located and grasped transabdominally by the examiners hand
Gentle pressure is exerted to rotate the fetus Ina forward direction to a cephalic
What are the 5 contraindications of external cephalic version?
Multiple gestation Severe oligohydramnios Contraindicated to vaginal birth A cord that wraps are d the neck Unexplained 3rd tri bleeding
What are the therapeutic management of problems in labor and birth?
Induction: labor is started artificially. To initiate labor before the time when it would have occurred because the fetus is in danger.
Augmentation of labor: refers to assisting labor that has started spontaneously to be more effective
What are the possible reasons for induction of labor?
Per-eclampsia Eclampsia Severe hypertension Diabetes Rh sensitization Prolonged rupture of the membranes
