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23 Cards in this Set
- Front
- Back
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1st stage
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onset of labor until 10cm dilated & 100% effaced
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2nd Stage
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Pushing till expulsion
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3rd stage
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Placenta delivered
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4th Stage
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Physical recovery (delivery of placenta to first 1-4 hours postpartum)
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1st stage
Latent phase |
-0-4 cm
-Contractions increase in duration and frequency -Ends when contractions 5 min apart |
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1st stage
Midphase |
-4-7 cm
-active labor - |
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1st stage
transition |
-8-10 cm dilated
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Used to contract the uterus in the recovery phase
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-Methyergin
-oxytocin -uterine massage |
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Signs of Labor
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- Increased vag secretions
-lightening -membrane rupture -energy spurt -weight loss -contractions - true and false labor |
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Contractions
phases |
increment
acme decrement |
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cephalic
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head flexed and down. Best position
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Military
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head neutral and down
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Brow
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head is extended and down
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Engagement
refers to |
presenting part is at the ischial spines
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Station
refers to |
where the baby is in relation to the ischial spines
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Station
measurment |
Above IS- (floating)
-4, -3, -2, -1 Below IS to the pelivs floor +1, +2, +3, +4 |
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Primary powers
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involuntary uterine contractions
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Secondary powers
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Mother uses abd muscles etc to move the baby to the pelvic floor
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Psychological Respose to Labor & Delivery
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- Anxiety and fear slows the process
- Tense muscles cause decrease in placental circulation |
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Babies movement during delivery
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- Descent
- Flexion of the Head - Internal rotation |
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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 |
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C Section Risks:
To mom |
-Infection
-hemorrhage -urinary tract trauma - paralytic Ileus -Thrombophlebitis - Atelectasis - Comp of Anethesia |
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C Section Risks:
To baby |
- Born prematurly
-longs are not mature -increased mucus -transient tacypnea -Persistant HTN -laceration - bruising -trauma |
