Version Flashcards
External cephalic version
When will they have this done
Changing fetal position to a cephalic position using abdominal manipulation
- if fetus is transverse or breech
Done 36-37 weeks
Criteria for version
amount
presentation
fluid
NST
1 fetus
engaged breech presentation
enough amniotic fluid so baby can flip
reactive NST to make sure baby is good
When does mom need to stop eating before version
8 hours before
What diagnostic will they do before the version
An ultrasound to get a good reading on baby
Nurse’s job during version
Monitor FHR and mom VS
Labs needed for version
CBC
crossed blood type
antibody screen
What type of consent
informed consent that is signed
what should moms bladder be before version
empty
Tocolytics administered before version
Terbutaline
Magnesium sulfate
both relax the uterus
Can you give anesthesia during aversion
yes epidurals and spinal blocks are helpful
Moms positining
supine
sligh trendelnburg
What type of pressure is needed
constant, gentle pressure
Will these candidates be successful?
first PG
Non-obese
non-anterior placenta
not enough amniotic fluid
fetus is not engaged
Multiparous is better
Non-obese. is good
Non-anterior placenta. is good
Abundant amniotic fluid is better
fetus needs to be engaged
When should you stop version?
a successful procedure
when you have repeated failures
the woman wants to stop
maternal or fetal signs of distress
after eversion is successful what do you need to screen for
screen for rh immune globulin or rh -
