2nd Stage Labour: when is pudendal block required?
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- pain relief for assisted birth or extensive repair of laceration postpartum
- use the need guide (iowa trumpet) and luer-lok syringe to inject med
5th P: Position of the Birther
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, - frequent changes in position relieve fatigue, increase comfort and
improve circulation
- aid in pain management
- progress labour
- enhances uteroplacental perfusion
Birth and Labour: 1st Stage
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= start of true labour -> complete effacement and dilation
- includes latent/ early and active phase
- longest stage
Pain During the 2nd Stage of Labour
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- pain is d/t stretching + distension of perineal tissue and the pelvic floor as
the baby passes through birth canal
- also soft tissue laceration + pressure exerted on bladder, bowel and other
pelvic structures
Signs of Preceding labour?
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, - lightening
- return of urinary frequency
- backache
- stronger braxton hicks
- weight loss of 0.5-1.5kg
- surge of energy (nesting)
- flulike symptoms
- blood show (increase vaginal discharge)
- cervical ripening
- possible ROM
What shape of the pelvis is optimal for delivery?
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Gynecoid
Gestational Time: Term
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=37 weeks -> 40 weeks 6 days
Side Effects of Morphine and Fentanyl
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N+V, dizziness, drowsiness, pruritus, resp depression
, Epidural Care
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1. Positioning
2. Dermatome Levels
- use ice
- T10-T15 usually sufficient for vaginal birth
-T12-T10 usually sufficient labour pain
3. motor function
Terminology PPROM
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Preterm premature rupture of membranes... rupture before 37 weeks
ROM Assessment
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- completed to determine timing of rupture as infection risk increases if
rupture has occurred >48hrs prior to delivery
2nd Stage Labour: When is Nitrous Oxide required?
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Give this one a try later!
- pain relief for assisted birth or extensive repair of laceration postpartum
- use the need guide (iowa trumpet) and luer-lok syringe to inject med
5th P: Position of the Birther
Give this one a try later!
, - frequent changes in position relieve fatigue, increase comfort and
improve circulation
- aid in pain management
- progress labour
- enhances uteroplacental perfusion
Birth and Labour: 1st Stage
Give this one a try later!
= start of true labour -> complete effacement and dilation
- includes latent/ early and active phase
- longest stage
Pain During the 2nd Stage of Labour
Give this one a try later!
- pain is d/t stretching + distension of perineal tissue and the pelvic floor as
the baby passes through birth canal
- also soft tissue laceration + pressure exerted on bladder, bowel and other
pelvic structures
Signs of Preceding labour?
Give this one a try later!
, - lightening
- return of urinary frequency
- backache
- stronger braxton hicks
- weight loss of 0.5-1.5kg
- surge of energy (nesting)
- flulike symptoms
- blood show (increase vaginal discharge)
- cervical ripening
- possible ROM
What shape of the pelvis is optimal for delivery?
Give this one a try later!
Gynecoid
Gestational Time: Term
Give this one a try later!
=37 weeks -> 40 weeks 6 days
Side Effects of Morphine and Fentanyl
Give this one a try later!
N+V, dizziness, drowsiness, pruritus, resp depression
, Epidural Care
Give this one a try later!
1. Positioning
2. Dermatome Levels
- use ice
- T10-T15 usually sufficient for vaginal birth
-T12-T10 usually sufficient labour pain
3. motor function
Terminology PPROM
Give this one a try later!
Preterm premature rupture of membranes... rupture before 37 weeks
ROM Assessment
Give this one a try later!
- completed to determine timing of rupture as infection risk increases if
rupture has occurred >48hrs prior to delivery
2nd Stage Labour: When is Nitrous Oxide required?
Give this one a try later!