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23 Cards in this Set

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1st stage
onset of labor until 10cm dilated & 100% effaced
2nd Stage
Pushing till expulsion
3rd stage
Placenta delivered
4th Stage
Physical recovery (delivery of placenta to first 1-4 hours postpartum)
1st stage
Latent phase
-0-4 cm
-Contractions increase in duration and frequency
-Ends when contractions 5 min apart
1st stage
Midphase
-4-7 cm
-active labor
-
1st stage
transition
-8-10 cm dilated
Used to contract the uterus in the recovery phase
-Methyergin
-oxytocin
-uterine massage
Signs of Labor
- Increased vag secretions
-lightening
-membrane rupture
-energy spurt
-weight loss
-contractions
- true and false labor
Contractions
phases
increment
acme
decrement
cephalic
head flexed and down. Best position
Military
head neutral and down
Brow
head is extended and down
Engagement
refers to
presenting part is at the ischial spines
Station
refers to
where the baby is in relation to the ischial spines
Station
measurment
Above IS- (floating)
-4, -3, -2, -1
Below IS to the pelivs floor
+1, +2, +3, +4
Primary powers
involuntary uterine contractions
Secondary powers
Mother uses abd muscles etc to move the baby to the pelvic floor
Psychological Respose to Labor & Delivery
- Anxiety and fear slows the process
- Tense muscles cause decrease in placental circulation
Babies movement during delivery
- Descent
- Flexion of the Head
- Internal rotation
C Section
Indications
-Dyctocia
-Cephlopelvic disporprotion
-PIH
-Maternal Ds
-Active gential Hepres
-Previous Uterine sgy
- Persistant no reasuraing FHR patterns
- Prolapse of UC
-Mapresentation
- Abruptio placenta
- Placenta previa
C Section Risks:
To mom
-Infection
-hemorrhage
-urinary tract trauma
- paralytic Ileus
-Thrombophlebitis
- Atelectasis
- Comp of Anethesia
C Section Risks:
To baby
- Born prematurly
-longs are not mature
-increased mucus
-transient tacypnea
-Persistant HTN
-laceration
- bruising
-trauma