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1 of 80
Term
recommendations for frequency of Intermittent Auscultation FHR
assessment during 1st stage of labor.
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q30-45min q1-2hr
q15-30min q5-10min
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2 of 80
Definition
- don't use to treat ♀ in active phase of labor.
- Doesn't provide sufficient pain relief.
- Half life in fetus in 13 to 26 hours ( neonatal depression post
labor, altered neurobehavioral test in newborn 3 day postpartum)
- Negative clinical outcomes in newborn are:
●low Apgar scores
● difficulty establishing breastfeeding, &
● decreased neonatal alertness
- Maternal side effects: N/V, urinary retention, respiratory
depression, sedation
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use of inhaled analgesics (nitrous maternal, fetal & neonatal side
oxide) for pain relief in labor, effects of Morphine & appropriate
effectiveness & maternal & fetal timing of administration during
side effects. labor.
effectiveness maternal, fetal & neonatal
Acupressure/acupuncture for side effects of Demerol &
reducing pain & increasing comfort appropriate timing of
in labor: administration during labor.
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,3 of 80
Definition
● can cause labor to slow (longer 2nd stage) down & make
contractions weaker. D/T not being able to tell having contraction.
●longer pushing time
●mom's ability to feel the "ejection reflex" is inhibited
epidural effect on 1st stage length
- conflicting evidence --> some studies report may increase
length of this stage, while others show no correlation
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Epidural Effect on the
progress of second Amniotomy effect on fetal &
stage labor neonatal status
Epidural Effect on rates of oxytocin Epidural Possible fetal & neonatal
augmentation effects
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4 of 80
Term
recommendations for frequency of Intermittent Auscultation FHR
assessment during 2nd stage of labor.
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q2-3min q30-45min
q1-2hr ● q5-15min
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5 of 80
Definition
cesarean section
- decreased c/s
- increased spontaneous vag delivery
operative vaginal delivery
- decreased risk of operative vag birth
maternal satisfaction
- has positive influences on child birth experience
- shorter stages of labor duration
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Newborn hypoglycemia can result
in: labor support
Epidural Relationship to intrapartum
Epidural Contraindications maternal fever