Labour and Childbirth Flashcards Preview

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Flashcards in Labour and Childbirth Deck (20):
1

Assessment of Pregnant woman

Primigravida or multigravida- how many?
Gestation- how many weeks?
Contractions - how often and how far apart?
Membranes - has water broken?
Position of baby
Health - previous history
Antenatal classes?
Previous labours?

2

First Stage of Labour

onset of painful, regular, strong, rhythmic contractions
dilation of cervix 10cm
initial contractions 15-30Mins apart 10-30secs duration
amnion ruptures, releasing fluid
engagement occurs as infant's head enters true pelvis

3

Second Stage of Labour

time between complete dilation until delivery of fetus

4

Signs of Imminent Delivery

bulging or stretching perineum
presenting part on view
anal pouting
uncontrollable urge to push
urge to purge
grunting
show

5

Equipment

Obstetric kit - pad, scissors, clamps, bluey
oxygen, y-suction catheters, extra towels, warm environment

6

Maternal Care

VSS, abdo, complications, monitor fundus and blood loss

7

Care of Neonate

airway - wipe away mucous and aspirate
clamp and cut cord
temp - dry and warm baby
breathing - allow a min for established resps
APGAR

8

Third stage of labour

placental separation
firm, round fundus at umbilicus
small fresh blood loss
check for completeness

9

Normal Placenta

has many lobes, smooth rounded edges, even colour
cake like round 15-20cm width 2-3cm depth

10

Antepartum haemorrhage

bleeding from genital tract after 20 weeks

11

Pre-eclampsia

high BP, fluid retention, proteinuria

12

Breech baby

baby exits pelvis with buttocks or feet first

13

Preterm/cord prolapse

loop of umbilical cord falls past baby
cord comes first

14

Shoulder dystocia

shoulder cannot pass

15

Digestive system changes in pregnancy

Uterus presses on bladder
Kidneys filter more but dont absorb as much
Cravings and increased saliva
Increased metabolism

16

Respiratory changes in pregnancy

Capillary engorgement and swelling if lining in nose, larynx, trachea
Total lung capacity reduces slightly, ERV and RV and FSB reduces
Increased oxygen consumption

17

Cardiovascular changes in pregnancy

Increased blood volume
Increased CO
Heart enlarges
Aortocaval compression

18

Reproductive changes in pregnancy

Size of uterus increases
Increased blood supply to cervix and vagina
Uterus softens
Breasts produce milk

19

APGAR

Appearance - pale, blue, pink
Pulse - none, less than 100, greater than 100
Grimace - none, grimaces, cries
Activity - limp, flexion of extremities, active motion
Respiratory - absent, weak, good crying

20

Causes of decreased APGAR

hypoxia, prolapsed cord, placenta praevia, meconium aspiration