OB Module 3

contraindication for tocolytics

SROM prior to the onset of labor at any gestational age

SROM prior to 37 completed weeks gestation, often caused by infection

membranes ruptured greater than 24 hours before birth

infection of the amniotic cavity w/ imflammation of membranes before birth

infection of the endometrium postpartally that may be related to chorio

test for ROM

anything that leads to difficult labor due to mechanical factors produced by the fetus or maternal pelvis

leads to long, difficult labor

ineffectual uterine contractions of poor quality occuring in the latent phase

force of ctx is in mid section

must rule out prior to induction

less than one cm cervical dilation per hour

no change on cervical dilation for 2 hours

planned labor process; we're manipulating labor

occurs when the entire process of labor AND birth occurs within 3 hours

sudden and often unattended birth

drugs used to slow down the labor and delivery process

most common fetal maplosition

pg 698 figure 22-3

attempt to manipulate fetus manually

pregnancy that extends past 294 days or 42 completed weeks

fetal wt greater than 4500g

palpations for position, fetal size

lithotomy position with a squat to open pelvis to allow delivery of large fetus

placing hands on abdomin and forcefully pushing downward to allow passage of shoulder past pelvis

only c section pt that can attempt vaginal delivery

a bolus of amniotic fluid enters the maternal blood supply

kubler ross stages of grief as a result to fetal demise