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Stages of Labor 1. Dilatation Stage (0-10 cm) - enlarging, opening, widening 1. True Labor - cannot be relieved by ambulation, pain at the back, difference: bloody SHOW 2. False Labor - intermittent, pain at abdomen, can be relieved by ambulation, Braxton Hicks, main difference: white SHOW Dapat ______ na patient; KVO (Keep vein open) Passenger - Placenta, Baby, Amniotic Fluid Cause of prolonged labor / painful labor: distended bladder and abdomen Transfer to DR when: transition phase (7-10) Transition to labor room;l: active phase (4-6) latent (0-3) 1. Delivery Stage - full dilatation to delivery of baby 1. bulging of perineum (area between vagina and anus) - for episiotomy (surgical incision of perineum) 1. perineorrhaphy (repair of perineum) 2. episiorrhaphy (repair of episiotomy) 2. Crowning - encirclement of presenting part 3. Rupture of BOW 1. normal (500) Amniotomy - shorten the second stage of labor Normal Amniotic Fluid - Normohydramniod Amniotic Fluid - straw or clear Amniosynth.
Stages of Labor 1. Dilatation Stage (0-10 cm) - enlarging, opening, widening 1. True Labor - cannot be relieved by ambulation, pain at the back, difference: bloody SHOW 2. False Labor - intermittent, pain at abdomen, can be relieved by ambulation, Braxton Hicks, main difference: white SHOW Dapat ______ na patient; KVO (Keep vein open) Passenger - Placenta, Baby, Amniotic Fluid Cause of prolonged labor / painful labor: distended bladder and abdomen Transfer to DR when: transition phase (7-10) Transition to labor room;l: active phase (4-6) latent (0-3) 1. Delivery Stage - full dilatation to delivery of baby 1. bulging of perineum (area between vagina and anus) - for episiotomy (surgical incision of perineum) 1. perineorrhaphy (repair of perineum) 2. episiorrhaphy (repair of episiotomy) 2. Crowning - encirclement of presenting part 3. Rupture of BOW 1. normal (500) Amniotomy - shorten the second stage of labor Normal Amniotic Fluid - Normohydramniod Amniotic Fluid - straw or clear Amniosynth.
NPO
Passenger - Placenta, Baby, ______ Cause of prolonged labor / painful labor: distended bladder and abdomen Transfer to DR when: transition phase (7-10) Transition to labor room;l: active phase (4-6) latent (0-3) 1. Delivery Stage - full dilatation to delivery of baby 1. bulging of perineum (area between vagina and anus) - for episiotomy (surgical incision of perineum) 1. perineorrhaphy (repair of perineum) 2. episiorrhaphy (repair of episiotomy) 2. Crowning - encirclement of presenting part 3. Rupture of BOW 1. normal (500) Amniotomy - shorten the second stage of labor Normal ______ - Normohydramniod ______ - straw or clear Amniosynth.
Passenger - Placenta, Baby, ______ Cause of prolonged labor / painful labor: distended bladder and abdomen Transfer to DR when: transition phase (7-10) Transition to labor room;l: active phase (4-6) latent (0-3) 1. Delivery Stage - full dilatation to delivery of baby 1. bulging of perineum (area between vagina and anus) - for episiotomy (surgical incision of perineum) 1. perineorrhaphy (repair of perineum) 2. episiorrhaphy (repair of episiotomy) 2. Crowning - encirclement of presenting part 3. Rupture of BOW 1. normal (500) Amniotomy - shorten the second stage of labor Normal ______ - Normohydramniod ______ - straw or clear Amniosynth.
Amniotic Fluid
Normal Amniotic Fluid - Normohydramniod Amniotic Fluid - straw or clear Amniosynth.
Normal Amniotic Fluid - Normohydramniod Amniotic Fluid - straw or clear Amniosynth.
shorten the second stage of labor
Delivery Stage - full dilatation to delivery of baby 1. bulging of perineum (area between vagina and anus) - for episiotomy (surgical incision of perineum) 1. perineorrhaphy (repair of perineum) 2. episiorrhaphy (repair of episiotomy) 2. Crowning - encirclement of presenting part 3. ______ of BOW 1. normal (500) Amniotomy
Delivery Stage - full dilatation to delivery of baby 1. bulging of perineum (area between vagina and anus) - for episiotomy (surgical incision of perineum) 1. perineorrhaphy (repair of perineum) 2. episiorrhaphy (repair of episiotomy) 2. Crowning - encirclement of presenting part 3. ______ of BOW 1. normal (500) Amniotomy
Delivery Stage - full dilatation to delivery of baby 1. bulging of perineum (area between vagina and anus) - for episiotomy (surgical incision of perineum) 1. perineorrhaphy (repair of perineum) 2. episiorrhaphy (repair of episiotomy) 2. Crowning - encirclement of presenting part 3. Rupture of BOW 1. normal (500) ______ - shorten the second stage of labor Normal Amniotic Fluid - Normohydramniod Amniotic Fluid - straw or clear Amniosynth.
Delivery Stage - full dilatation to delivery of baby 1. bulging of perineum (area between vagina and anus) - for episiotomy (surgical incision of perineum) 1. perineorrhaphy (repair of perineum) 2. episiorrhaphy (repair of episiotomy) 2. Crowning - encirclement of presenting part 3. Rupture of BOW 1. normal (500) ______ - shorten the second stage of labor Normal Amniotic Fluid - Normohydramniod Amniotic Fluid - straw or clear Amniosynth.
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Study Notes
Stages of Labor
- Dilatation Stage (0-10 cm) involves enlarging, opening, and widening of the cervix.
True Labor vs. False Labor
- True Labor:
- Cannot be relieved by ambulation
- Pain is located at the back
- Bloody SHOW (a sign of labor)
- False Labor:
- Intermittent pain
- Pain is located at the abdomen
- Can be relieved by ambulation
- Braxton Hicks contractions
- White SHOW (a sign of false labor)
Preparation for Labor
- Patient should be NPO (nothing by mouth) to prevent aspiration during delivery
- KVO (Keep vein open) to maintain hydration
Key Concepts
- Passenger refers to the placenta, baby, and amniotic fluid
- Causes of prolonged or painful labor include distended bladder and abdomen
- Transfer to delivery room (DR) when patient reaches the transition phase (7-10 cm)
Phases of Labor
- Latent phase (0-3 cm): early labor
- Active phase (4-6 cm): moderate labor
- Transition phase (7-10 cm): advanced labor
Delivery Stage
- Full dilatation to delivery of baby
- Bulging of perineum indicates need for episiotomy (surgical incision of perineum)
- Perineorrhaphy: repair of perineum
- Episiorrhaphy: repair of episiotomy
- Crowning: encirclement of presenting part
- Rupture of BOW (bag of waters)
Amniotic Fluid
- Normal amniotic fluid: normohydramnios, straw or clear color
- Amniotomy: surgical rupture of membranes to shorten the second stage of labor
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