chaptern14 complications of labor and birth

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marshelej_6
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292621
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chaptern14 complications of labor and birth
Updated:
2015-01-09 11:52:15
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complications birth maternity ob nursing
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nursing,ob,maternity,eastern suffolk boces
Description:
maternity ob complication of labor and birth Elsevier 11th edition
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  1. preterm labor is..
    the onset of labor between 2- and 37 weeks gestation
  2. to most common factor that lead to preterm birth
    preterm labor and premature rupture of membranes.
  3. pg 281 (saftey alert) risk factor for preterm labor
    • history of preterm delivery
    • multifetal pregnancy
    • bacterial vaginosis
    • short cervix
    • hydramnios
    • substance abuse
  4. s/s of preterm labor
    • uterine cramping like menstrual cramps
    • ab cramping with or without vomit or diarrhea any vaginal bleeding
    • change in vaginal discharge
    • vaginal pelvic pressure
    • low back pain
    • thigh pain intermittent or persistent
  5. STOPPING PRETERM LABOR! how?
    use of tocolytic agents
  6. goal of tocolytic therapy
    to delay delivery until steroids can hasten (to move or travel quickly) lung maturity of fetus
  7. tocolytics table 14-1 pg 282
    • ritodrine- SE maternal and fetal tachycardia, SOB, nausea and vomit tremor, hypokalemia and calcemia and hyperglycemia
    • magnesium sulfate
    • indomethacin
    • nifedipine (procardia) (calcium channel blocker
    • terbutaline (brethine)
    • corticosteroids
    • bethasone (dexamethasone)
  8. PPROM preterm premature rupture of membranes complications
    infection and compression of cord and prolapse
  9. fern test?
    examination of  amniotic fluid underneath microscope
  10. infection of amniotic sac is called?
    chorioamnioitis
  11. cause of infection of amniotic sac (chorioamnionsitis)
    prematurely ruptured membranes b/c barrier to uterine cavity is broken
  12. what is dystocia?
    dysfunctional labor
  13. dystocia results from problems with the 4 P's what problems?
    • 1. powers: abnormal uterine activity ineffective uteine contractions
    • 2. passageway: abnormal pelvic size or shape or other condition that interferes with descent of presenting part (tumors or resistance)
    • 3. passenger: abnormal fetus size or presentation
    • 4.pysche: past experiences, culture, prep and support system
  14. management of women with premature rupture of the membranes PROM
    women with PROM
  15. induction
    natural enhancement to induce labor. sex, seaweed, primrose oil (pg 289 under CAM therapy)
  16. augmentation
    unnatural, med was given to induce labor
  17. hygroscopic dilator
    aka laminariaa ..seaweed thst induces labor
  18. -vacuum extraction
    -what is the risk to the fetus
    • -applying a cup called a vacuum extractor, to the fetal head and withdrawinig air from cup.
    • -cephalhematoma
  19. removal of fluid for hydramnios cancuase what?
    removal of excess amniotic fluid may cause apruptio placentae
  20. condition when the umbilical cord precedes the fetal present part
    prolapsed umbilical cord
  21. factors that contribute to umbilical cord prolapse (7)
    • 1. rupture of membranes before fetal head is engaged; carrying a loop of the umbilical cord into the pelvis
    • 2. small fetus
    • 3.breech presentation
    • 4.transverse lie
    • 5.. hydramnios
    • 6.unusally long cord
    • 7. multifetal pregnancy
  22. indications for cesarean birth
    -previous cesarean birth with vertical scar
  23. surgical techniques

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