Escolar Documentos
Profissional Documentos
Cultura Documentos
Nursing Care
Mild sedation
Contractions are ineffectual, erratic, uncoordinated, and involve only a portion of the uterus
Increase in frequency of contractions, but intensity is decreased, do not bring about dilation
and effacement of the cervix.
Signs and Symptoms:
1. PAINFUL contractions RT uterine muscle anoxia, causing constant cramping pain
2. Dilation and effacement of the cervix does not occur.
3. Prolonged latent phase. Stay at 2 - 3 cm. dont dilate as should
4. Fetal distress occurs early uterine resting tone is high, decreasing placental perfusion.
5. Anxious and discouraged
Treatment of Hypertonic Uterine Contractions
Bedrest
Hydration
Tocolytics to reduce high uterine tone
Overstretching of the uterus --large baby, multiple babies, polyhydramnios, multiple parity
Bowel or bladder distention preventing descent
Excessive use of analgesia
1
5.
Definition:
Etiology
Pelvic Inlet or Outlet is not of sufficient size or proper shape to allow the baby to get
through
Congenital defect
Malnutrition -- Rickets
Neoplasms
Fracture / Trauma
Labor is arrested.
Station does not decrease. Baby does not move down in the birth
canal after long time in labor or with prolonged pushing.
Therapeutic Interventions:
cesarean delivery
Complications of the Passenger
Malpositions:
Treatment:
Forceps -- low
Vacuum extraction -- disk shaped cup placed over vertex of head and vacuum applied.
Episiotomy - surgical incision to allow more room
Treatment:
Cephalopelvic Disproportion
Large baby or small pelvis
Usually diagnosed when there is an arrest in descent
Station remains the same
Treatment:
Cesarean Delivery
Multiple Fetus
may be delivered by cesarean birth
CESAREAN DELIVERY
OPERATIVE PROCEDURE IN WHICH THE FETUS IS DELIVERED THROUGH AN INCISION IN
THE ABDOMEN
REMEMBER -- IT IS A BIRTH !
Mom may feel less than normal, so may need support
May have option of a VBAC the next time
Premature Rupture of the Membranes / PROM
Definition:
Etiology
Infections
Fetal abnormalities
- Incompetent cervix
- Sexual Intercourse
Check WBC
Provide psychological support
Preterm Labor
Definition:
Labor that occurs after 20 weeks but before 37 weeks
Etiology:
urinary tract infections
Premature rupture of membranes
Goal -- STOP THE LABOR ! suppress uterine activity
Therapeutic Interventions:
Ruptured Uterus
Spontaneous or traumatic rupture of the uterus
Etiology:
Rupture of a previous C-birth scar
Prolonged labor
Injudicious use of Pitocin -- overstimulation
Excessive manual pressure applied to the fundus during delivery
Signs and Symptoms:
Sudden sharp abdominal pain, abdominal tenderness
Cessation of contractions
Absence of fetal heart tones
Shock
Therapeutic Interventions:
Deliver the baby ! / Cesarean Delivery
dyspnea
chest pain
cyanosis
shock
Therapeutic Interventions: