Unit IV Care of the Patient During the Intrapartal PerNioormdal Intrapartum Murray, Chapter 12, 13, 16 and Chapter 27

Unit IV Care of the Patient During the Intrapartal PerNioormdal Intrapartum Murray, Chapter 12, 13, 16 and Chapter 27 ■ Intrapartum The period of time from the onset of true labor until the birth and delivery of the placenta ■ Labor The process involving a series of involuntary contractions of the uterus to expel the fetus, placenta and amniotic sac through the birth canal ■ Maternal adaptations and response ■ Fetal adaptations response ■ Cardiovascular system  BP, Pulse slows, supine hypotension, peripheral vascular changes ■ Hematological system Leukocyte 25-30,000 Increased blood volume Hypercoaguable state ■ Respiratory Rate and depth increases Hyperventilation Oxygen consumption doubles ■ Gastrointestinal Decrease in gastric emptying and pH Motility and absorption are decreased ...........................................continued........................................................