Women's Health Flashcards
Define Stage 1 of labor
Onset of labor to full cervical dilation
Define Stage 2 of Labor
Full cervical dilation to delivery of infant
Define Stage 3 of Labor
Delivery of infant to delivery of placenta
What is labor dystocia?
Below minimal normal rate/change of pregnancy
What is the dosing of oxytocin?
Low: 1-2 milliunits/min
High: 4-6 milliunits/min
*Give every 15-60min
*Max dose: 40 milliunits/min
What is the half-life of oxytocin?
3 mins
How should oxytocin be administered?
IV infusion in normal saline or lactated ringers
**Do not use D5W
What are the adverse effects of oxytocin?
-Tachysystole
-Fetal heart rate changes
-Hyponatremia
-Hypotension
-Hyperbilirubinemia
What are the benefits of oxytocin use?
-No difference in C-section rate
-Reach active labor sooner with shorter overall labor
-Less likely to require antibiotics before or during labor
What is the dose of oxytocin given when used for medical termination?
50 units/500mL over 3 hours + 1 hour rest
*repeat with additional 50 units per cycle
What procedures are put into place to minimize oxytocin risk?
-Limited access to infusions
-Use auxiliary labels
-Standardize concentrations/ordering
What RID range is a Minimal Transfer to Milk? (lowest)
<2%
What RID range is a Small Amount Transferred to Milk? (second lowest)
2-5%
What RID range is a Moderate Amount of Transfer to Milk?
5-10%
What RID range is a Large Amount of Transfer to Milk?
> 10%
What are the safest antidepressants to use when breastfeeding?
*Sertraline (1%)
*Paroxetine (2%)
Fluoxetine
Citalopram
What is a possible side effect associated with buprenorphine use while breastfeeding?
(used for substance abuse help)
Decreased milk production
What is the preferred treatment for tobacco cessation while breastfeeding?
Nicotine replacement therapy
-Specifically short-acting
-Lozenges, Gum
What is a possible side effect of Buproprion use while breast feeding? (used for nicotine cessation)
Could cause infant seizures
When breastfeeding, what pain meds are preferred?
-Non-narcotics
(Acetaminophen or Ibuprofen)
