Flashcards in Normal Labor and Delivery Deck (17):
Most important defining feature between true and false labor is
if cervical change is present (usually recheck cervix after 2 hours).
normal BP increase during labor
Systolic rises 10-20 mm/hg
Diastolic rises 5-10 mm/hg
5 Ps of labor
Power- Cardinal movements of labor/mechanisms of labor & uterine contractions
Passenger- the fetus and placenta
Passageway- birth canal
Position- position of mother
Psychosocial-psychologic response of mother
-shortening and thinning of the cervix. Before labor cervix usually long (2-3cm) thick (1cm) and, closed(not dilated).
- widening of cervical opening. Cervical dilation progresses from closed to 10 cm.
Stage 1 of labor
occurs from onset of contractions to complete dilation of cervix (10cm).
Stage 2 of labor
Complete or “full” dilation of cervix (10cm) to delivery of the infant.
Stage 3 of labor
from delivery of the infant through the delivery of the placenta. Usually takes 10-15 min but, may take up to 30 min.
ideal fetus presentation? MC
vertex, left occiput anterior
when is general anesthesia used?
Perineal laceration degrees
1st degree- perineal skin may involve vaginal mucosa- *Easy to repair
2nd degree- involvment of muscles of the perineum and fascia. *Usually fairly simple repair
3rd degree- has extended and has involvement of anal sphincter. Takes some time to repair/good visualization
4th degree- involves all rectal mucosa and exposes rectal lumen. Difficult repair may need assistance/OR instruments.
Appearance (skin color)
When is colostrum secreted
-first 5 days
-high in protein and minerals
when can pts resume sex?
after 6 weeks from delivery
Frank: hips flexed, knees extended
Complete: hips and knees flexed
Double footling: hips and knees extended
Single footling: one hip and knee extended, the other hip flexed with knee flexed or extended
Degree of flexion of fetal head
Poor flexion (extension)