Care in 1st Stage Labour Flashcards Preview

Midwifery 1201 > Care in 1st Stage Labour > Flashcards

Flashcards in Care in 1st Stage Labour Deck (18)
Loading flashcards...
1

What are some of the characteristics of the latent stag of 1st stage of labour?

Contractions or irregular
the spacing of contractions can vary an dwell as the strength
Contractions are not as painful
May stop and start
You can often sleep through

2

What is positive practice?

Tailored care to individual women

3

What are some practices that could have a negative impact?

Repetitive vaginal examinations
Continuous fetal monitoring
Use of opiates rather than more natural approaches
Language used by the midwife
Focusing on objective measurement

4

What are some non pharmaceutical pain releif?

Breathing techniques
Muscle relaxation
Visualisation
Immersion in warm water
Hypnosis
massage
TENS machines
Rhythmic movements

5

What happens as labour progresses into the active stage?

Contractions are met regular and intense, 3:10 lasting 50-60 seconds

Breathing patterns become more vocal

Observation of behaviour pain

6

What is the midwifes role during labour?

To support and reassure
Monitor maternal wellbeing
Monitor fetal wellbeing
Monitor progress of labour

7

How often should blood pressure be monitors in 1st stage labour?

4 hourly

8

How often should temperature be monitored in 1st stage labour?

hourly if in the pool but 4 hourly on land

9

How often should should pulse rate be monitored in 1st stage labour?

hourly

10

How often should should an abdominal examination be carried out in 1st stage labour?

4 hourly

11

How often should fetal heart rate be monitored in 1st stage labour?

every 15 minutes and simultaneous to maternal pulse try hour

12

What else do you have to monitor in labour?

Fetal movements
bladder care
documentation

13

What is the purple line?

Purple line between the buttocks, moving up from the anal margin to the tip of the natal cleft in the lower back. It is said to appear and progress as the cervix dilates therefore allowing the midwives to judge cervical dilation.

14

What is the Rhombus of Michaelis?

Kite shaped area in the lower back that includes the lower lumber vertebrae and the sacrum. the area of bone moves backwards,, allowing more space in the pelvis. When the woman is in a leaving forward position a lump appears at the start of the second stage.

15

What are some other signs that labour is progressing?

As the cervix dilates the mucous show increases

16

What is the transition stage?

Contractions are string, regular and long lasting. May feel rectal pressure. May start to vocalise her distress or become quiet. Do not disturb normal physiology. Facilitate changes in position.

17

What cab vaginal examination determine?

Dilation
Effacement
Station (descent of presenting part)
Presentation
Position
Membranes stae: ruptured ot intact
Presence of any moulding, caput, limbs or placental tissue

18

What must you do when performing a Vaginal examination?

Justification is required
Informed consent is required
Fetal heart must be auscultated prior and following VE.
VE just be preformed following an abdominal examination unless clinically indicated otherwise
Justification and finding of the examination must be documented accurately
A plan of care should be made in partnership with the women and her birth partners.