Process And Stages Of Labor And Birth

Front 1

• Active phase:

Back 1

 4-7 cm 408
 Anxiety up
 Fears loss of control
 Decrased coping
 Dialation goes from 3-4 cm up to 8 cm avg 1.2 cm/hr in nulliparas and 1.5 in multiparas

Front 2

• Latent phase:

Back 2

 Comfortable fairly
 Onset of contractons
 Use of narc for pain might stop the labor
 Often talking and smiling etc.
 Might use an amniotomy to bust them membrane SROM is spont and AROM is artificial

Front 3

• Transition phase:

Back 3

 Cont. more freq. longer etc.
 Say whats on their mind
 Significant anxiety
 Dialation approaches 10cm
 Increasing bloody show
 Hyperventilation
 Low backache
 More need for support/husband midwife etc
 Resless
 Request for meds
 Hicupping belching nausea or puking
 Increased rectal pressure and an urge to bear down

Front 4

o Second stage:

Back 4

• Cardinal movements of labor occur
• Crowning occurs
• Careful w/use of narcs cause they will cross placental barrier
 Use narcan baby breath okay again
 (resp. depression is the big problem)

Front 5

o Third stage:

Back 5

• Uterus rises in abdoment
• Clamps down
• Globular
• Hard
• Bleeds
• Cord lengthens

Front 6

o Fourth stage

Back 6

• Four hours after birth
• Dec. blood pressure
• Increase pulse pressure
• Mild tachycardia
• Urinary retention case of narcs so monitor U . Output
• Boggy fundus is bloody
 Rub the fundus and it will contract then it should slow
 Full bladder will displace to r. or lft.
 Encourage them to pee

Front 7

o Fetal placental reserve: does what?

Back 7

• Sees baby thru the anoxic stages
• Mom no breathing right or hyperventilation

Front 8

why pain med at the acme of contractions?

Back 8

• Cause the caps are squeezed off and not as much crossess placental to get the baby

Front 9

name the fetal sutures?

Back 9

 Mitotic suture
 Sagittal suture
 Coronal sutures