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Artificial rupture of membranes. Complications include cord prolapse, infection,
and abruption placentae
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1 The Four P's of Labor and Birth 2 Membrane Rupturing
3 Amniotomy 4 Contraction Duration
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Terms in this set (73)
The Four P's of Labor and Powers, passage, passenger and psyche
Birth
Powers Uterine contractions, maternal pushing
Contraction of the myometrium lining. Causes the cervix
Uterine Contractions
to efface and dilate.
, Onset of one contraction to the onset of the next.
Contraction Frequency *Contractions occurring more frequently than q 2 min
may decrease fetal O2 supply and should be reported
Onset of one contraction to its end. * Contractions
Contraction Duration lasting longer than 90 seconds may decrease fetal O2
supply and should be reported
Amount of time uterus relaxes between contractions. *
Contraction Interval Intervals shorter than 60 seconds may decrease fetal
O2 supply and should be reported
Discourage pushing before the cervix is dilated 10cm
Maternal Pushing
b/c maternal exhaustion, tearing and hypoxia may result
Mother's bony pelvis and soft tissue. When the pelvis is
too small for the fetal head to pass through it's called
Passage
cephalopelvic disproportion (CPD) and results in a
cesarean delivery
Sutures of the fetal skull meet to form two fontanels.
Fetal Head Molding When the head passes through the pelvis it will change
shape to fit through the narrow opening
Position of the fetus should be compact and flexed.
Fetal Attitude Extension of the head or extremities can cause
prolonged labor
- Right or left side of the pelvis (R L)
Fetal Presentation - Occuput or sacrum (O S)
Abbreviations - Anterior, posterior or transverse to the pelvis (A P T)
LOA and ROA are the most favorable for normal labor
Irregular, ineffective contractions of the uterus that
Braxton Hicks Contractions
occur throughout pregnancy
Amniotic sac bursts. Patient should call their provider
Membrane Rupturing
and present to labor and delivery.
Level of the presenting part in relation to the ischial
Descent Station spine is 0, minus stations are above and plus stations are
below
When the presenting part is at zero station or lower. This
Engagement
occurs before labor in nulliparas and after in multiparas
Sitting on one buttocks. Grunting. Bearing down with
Signs of Impending Birth contractions. stating "baby's coming'. Bulging perineum
or visible presenting part