Maternal Notes PDF

Labor and delivery *poc-product of conception Length of gestation  9 months  38-43 weeks  280 days  Kapag mataas ang 4, the pt is labor - progesteron low  Proge terone promoter "Relaxation" Premonitory signs op labor:  Lightening  Weight loss  Increased tension and fatigue  Cervical...

Labor and delivery *poc-product of conception Length of gestation  9 months  38-43 weeks  280 days  Kapag mataas ang 4, the pt is labor - progesteron low  Proge terone promoter "Relaxation" Premonitory signs op labor:  Lightening  Weight loss  Increased tension and fatigue  Cervical changes  Nesting behaviorupture of bow Lightening -is the entrance of the baby inlet -1˚-2 wks - (primi) -x˚-1-2dys - (multi) (-pelaxin- loosening of pelvic joints) Weight loss -nesting behavior -2-3 pounds prio due to deliver labor -rapture of the bag of the water Increased tension, and fatigue -if tumaas ang 4 mag increase ang tension and magkakaron ng festigue (braxton thinks pair) False True Origin of pain Abd Lb abd Walking Low pain (↓) High pain (↑) Uc Non-progression Progressive Show (-) (+) Cervical change (-) (+) Bow (+) (-) Selition ↓ uc Uc are not affected False v.s. True labor  False - pain originates from the abdomen  True - pain is intensified by walking  True - bow (-)  False - sedation decreases contractions  True - contractions are progressive  False - no cervical changes  True - presence of bloody show True labor if a bag of water is is intact - cervical dilation (ask patient if "Pumutok na po ba ang panutubigan”). What is the most important criteria considered when the woman undergo true labor? Cervical dilation What is the most frequent ask to the mother to determine true labor? Bag of water / bow Time is important - expected that the baby came out within the 4 hours after raptured of BOW -prevention of ascending infection and its prone infection What is the most important maternal u.s are u going to check to dermene infection? (temperature) -checking for “f” Fever - The time if the water bag is raptured must be 4 hours delivered Baby.  Time  color →clear - Normal →Green - meconium/ Abnormal/ fetal distress ( Check for the fetal heart rate) Early sign of fetal distress  Tachycandia  Increase the rate of contraction Theories op later onset  Prostaglandin theory  Oxytocin theory  Uterine stretch theory  Placental Degeneration theory  Progesterone Deprivation Theory Stage of Labor and delivery Stage 1 Stage 2 Stage 3 Stage 4 Stage of dilatation 3 Birth of Expulsion Placenta Recovery phase (pinaka-matagal) True tabor → Full dilatation of the cervix →Delivery of the Baby → Delivery of the placenta → 2 hours post delivery  Latent  Active  Transition J P’s OF LABOR AND DELIVERY  POWER  PASSAGEWAY  PASSENGER  PSYCHE  PLACENTAL FACTOR A.) Power - forces that push the baby out Sources of power during labor: 1) UTERINE CONTRACTION - FUNDUS Oxytocin Tocolytic Syntocinon Duvadilan Pitocin Bactyl ob Oxytocin - einc Yutopar Methergine Bricanyl/ Terbutline B.) Ability of the mother to bear down or Push Assess Uterine contraction as to: 1. DURATION (Increment to Decrement) 2. INTERNAL (Decrement to Increment) 3. FREQUENCY (Increment to Increment) 4. INTENSITY Computation: Criteria: