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11 Cards in this Set
- Front
- Back
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Chapter 27
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Intrapartum Complications
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Normal Labor
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-characterized by progress
-sometimes things go wrong -Dystocia: term that describes any difficult labor or birth |
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Categories of Dysfunctional Labor
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-Problems of the Power
-Problems with the Passenger -Problems of the Passage -Problems of the Psyche -Abnormal labor duration |
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Problems of the Power
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-Ineffective contractions
-Ineffective maternal pushing |
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Ineffective Contractions
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-Usually should be coordinated, strong and numerous to progress labor and propel fetus out
-Ineffective labor is individualized -Causes: fatigue, inactivity, fluid & electrolyte imbalance, hypoglycemia, too much analgesia, stress response, pelvic-fetal disproportion, multiple gestation or big baby syndrome (hydramnios) |
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2 types of problems with Ineffective Contractions
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-hypotonic: contractions are coordinated but too weak
-hypertonic: contractions are uncoordinated, irregular |
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Management of Hypotonic
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-Management depends on cause (amniotomy, oxytocin, Cesarean birth)
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Management of Hypertonic
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Management is to correct cause, sedation, hydration, tocolytics to reduce hyperactivity of uterus and promote perfusion
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Pushing Problem
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-Reflexive in nature (think labor is sequential if normal)
-Can result from incorrect techniques and positioning, fear of injury (tearing), decreased or absence in urge to push, exhaustion, too much analgesia, psychological unreadiness to let go |
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Management of Pushing Problem
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-educaiton
-individualize treatment -positioning |
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Problems with the passenger
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-Fetal size
-Abnormal fetal presentation or position -Multifetal pregnancy -Fetal anomalies |
