5 essential factors that affect the process of labor (5 P's)
1. Passenger
2. Passageway
3. Powers
4. Position
5. Psych. / Psychosocial
-shortest anterior posterior measurement
Obstetric Conjugate
-shortest pelvic diameter
transverse diameter
Anthropoid
-not as common, but still favorable for vaginal birth
In the first stage of labor, the stretching is of the ________________________ and the
__________________
lower uterine segment; cervix
In the second stage of labor, the stretching is of the ______________ and the ______________
vagina; perineum
Most common complication of epidural
hypotension
how to treat spinal headache
HOB flat
Hydration
Amniotomy
AROM
Placenta implanted in lower uterine segment near or over internal cervical os
,placenta previa
Suspect __________ when bleeding occurs after 20 weeks
previa
_______________: manifestations include painless vaginal bleeding, soft uterus, and the FHR is usually
reassuring.
Abruptio Placenta
Placenta Previa
Vasa Previa
Hypocoagi Previa
Placenta previa
Separation of normally implanted placenta after 20th week gestation and before birth of baby
abruptio placenta
Bleeding may be evident or concealed, uterus is tender and rises with abd and this can be caused by
cocaine use, HTN, increased pariety and smoking.
Abruptio Placenta
Placenta Previa
, Vasa Previa
Hypocoagi Previa
Abruptio Placenta
Velamentous insertion of cord in which the vessels are crossing through cervical os; unable to 'clamp'
vasa previa
Clotting studies for DIC
Increased aPT, aPTT, Fibrin
Decreased Platelets, Fibrinogen
Signs of DIC
unusual bleeding from injection sites, gums, nose; wide spread petechia
Potential causes of DIC
Missed miscarriage
Severe preeclampsia
Abruptio placenta
Chorioamnionitis
Normal early labor pattern that converts into hypotonic pattern characterized by infrequent
contractions that slow and stop dilation and fetal descent.
hypotonic dysfunction
Contributing factors of hypotonic dysfunction
Overdistended uterus
grand multipariety
sedation in latent phase (0-3)
The first sign of shoulder dystocia is referred to as: