Care in 3rd stage labour Flashcards Preview

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Flashcards in Care in 3rd stage labour Deck (7)
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1

What is physiological management ?

No use of drugs
no clamping or cutting of cord
await signs of separation- cord lengthening, small gush of blood per vagina
strong urge to push may be present
placenta and membranes delivered by maternal effort

2

What is active management?

Administration of a oxytocic drug, sytometrine/ syntocinon
clamping and cutting of cord
controlled cord traction (CCT)

3

What are the sign of separation of the placenta?

a sudden gush of blood (larger in physiological management)
Lengthening of the visible portion of the umbilical cord
The uterus becomes round and firm
The uterus enlarges and approaches the umbilicus

4

What are the maternal observations during stage 3?

physical condition of mother
if prolonged stage 3 then maternal pulse and BP every 15 minutes
vaginal blood loss

5

What are the baby observations in stage 3?

colour, respiration, tone

6

What are the risks on stage 3?

Postpartum haemorrhage: one of the four major causes of maternal death globally
ensure placenta and membranes are complete
be vigilant is estimated blood loos in bigger than 500ml

7

What is appropriate after care?

Check placenta and membranes are complete
Inspection of perineum,, vagina and labia for trauma- repair if required
maternal observations
documentation