OB Notes PDF
Document Details
2024
Tags
Summary
This document provides an overview of obstetrics notes focusing on maternal labor assessment, stages of labor, and pain management. Notes cover aspects such as feelings of going into labor, maternal labor assessment, antepartum assessment, fetal assessment, and pain management strategies.
Full Transcript
Tuesday October 8, 2024 Feelings of Going Into Labor: - Backache - Lightening (baby moves down) - Increased vaginal discharge - Bloody show - Energy burst “nesting” - ROM - Amniotic fluid is alkaline pH 6.5 to 7.5 MATERNAL LABOR ASSESSMENT - Review of prenatal record Leads t...
Tuesday October 8, 2024 Feelings of Going Into Labor: - Backache - Lightening (baby moves down) - Increased vaginal discharge - Bloody show - Energy burst “nesting” - ROM - Amniotic fluid is alkaline pH 6.5 to 7.5 MATERNAL LABOR ASSESSMENT - Review of prenatal record Leads to focused assessment (Based on patient condition or complaint) - Quick review of body systems from prenatal record - Vital signs, lung sounds, any complaint (other than labor) - Depending on labor status, complete labor admission assessment (mostly WNL) - If in active labor, may need to defer some parts of assessment - If not in labor, more focus on reason for admission to help drive assessment priorities ______________________________________________________________________________ Passenger is the fetus Presentation =breech Lie = how the baby is lying in the uterus Attitude =head position (is its nose upwards or downward toward the chin) Station =what station is the baby at (0 station halfway in halfway out, +5 would be the entire head out, anything less than 0 is when the baby is still making its way out of the uterus) —------------------------------------------------------------------------------------------------------------------ Station: 0 station halfway in halfway out, +5 would be the entire head out, anything less than 0 is when the baby is still making its way out of the uterus -Mild -cheek -Moderate -nose -Strong -forehead STAGES OF LABOR 1st stage (0-10 centimeters) - "0 - 3 = latent labor - 4 - 7 = active labor - 8 - 10 = transition 2nd stage- pushing the baby out (time it takes to push the baby out) 3rd stage - delivery of placenta 4th stage- stabilize maternal vital signs First stage - back, leg pain, visceral Second stage - fetal descent, burning, pressure Third stage - contraction type pain Fourth stage - perineum pain, tear, episiotomy
