Flashcards in Care in 1st Stage Labour Deck (18)
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
What is positive practice?
Tailored care to individual women
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
What are some non pharmaceutical pain releif?
Immersion in warm water
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
What is the midwifes role during labour?
To support and reassure
Monitor maternal wellbeing
Monitor fetal wellbeing
Monitor progress of labour
How often should blood pressure be monitors in 1st stage labour?
How often should temperature be monitored in 1st stage labour?
hourly if in the pool but 4 hourly on land
How often should should pulse rate be monitored in 1st stage labour?
How often should should an abdominal examination be carried out in 1st stage labour?
How often should fetal heart rate be monitored in 1st stage labour?
every 15 minutes and simultaneous to maternal pulse try hour
What else do you have to monitor in labour?
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.
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.
What are some other signs that labour is progressing?
As the cervix dilates the mucous show increases
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.
What cab vaginal examination determine?
Station (descent of presenting part)
Membranes stae: ruptured ot intact
Presence of any moulding, caput, limbs or placental tissue