Chapter 16 Intrapartum Complications

What term describes a birth occurring when a trained attendant is not present to assist? 1 Macrosomia 2 Labor dystocia 3 Precipitous birth 4 Precipitous labor - 3 A precipitous birth occurs after a labor of any length, in or out of the hospital or birth center, when a trained attendant is not present to assist. Macrosomia describes an infant weighing more than 8 lb 13 oz (4000 g) at birth. Labor dystocia means a difficult labor and may be used to describe any form of dysfunctional labor. Precipitous labor is not the same as a precipitous birth. Precipitous labor is one in which birth occurs within 3 hours of its onset. Intense contractions often begin abruptly rather than gradually increasing in frequency, duration, and intensity, as is typical of most labors. A precipitous birth is associated with which potentially serious conditions? Select all that apply. 1 Placental abruption 2 Fetal meconium 3 Maternal postpartum hemorrhage 4 Fetal hemorrhage 5 Low Apgar scores - 1,2,3,5 Precipitous births are associated with placental abruption, fetal meconium, maternal postpartum hemorrhage, and low Apgar scores. It is not associated with fetal hemorrhage