![]() Left sided position, with the upper torso supported with pillows. Helps some women with pushing because they can lie back to rest between contractions. Patient sits in semi-fowler or high fowler position. Fetal head is moved away from sacrum when the back is arched. Post partum care.īirthing positions Standing birth Semi-fowler’s position Free movement. Remember placenta does it all.īirthing positions. And ………………………… True or false and correct false : increased heart rate and fetal oxygen. Short essay on fetal response to labour ? What are causes of fetal acidosis? Fetal acidosis result from ……………………. Fetal acidosis : from hypoxia and a build up of lactic acid caused by : Nuchal cord ,shoulder dystocia and abnormal fetal position. Insufficient removal of waste from the fetus. Fetal responses include : Decrease in the amount of oxygen and nutrients to the fetus. Result from powerful uterine contractions on the fetal body. Loss ( excretion ) of fluid and electrolytes. Short notes on maternal response to labour? True or false and correct the false : During labour the following occurs → Increased workload of the heart, pulse, blood pressure and cardiac out put. Protein breakdown and increased temperature from physical exertion. Preservation of fluids and electrolytes by the renal system. ![]() Increased WBC production in response to stress and exertion of labor. Increased breathing rate to accommodate the increased oxygen demand and also due to pain from labor and perineal stretching. Increased workload of the heart leading to increased blood pressure, pulse, and cardiac output. Uterine contractions squeeze shut the exposed blood vessels from where the placenta was separated from the uterine wall. Explain the positional changes /cardinal movements of stage 2 and why they occur in this order? ExpulsionĦ Third stage of labor The placenta separates from the uterine wall and is expelled. ĥ Mechanisms of Labor/ Cardinal Movementsĭescent Flexion Internal Rotation Extension External Rotation 25. It ends with complete delivery of the fetus. During the second stage the fetus undergoes series of position changes to adapt and pass through the birth canal. Averages about 12 hours in a nullipara up to 8 hours in a multipara at the end of the stage, the amniotic sac often ruptures.Ĥ Second stage of labor It Begins with full cervical dilation (10 cm) and complete effacement, and ends with baby’s birth. Dilation : cervix stretches until wide enough to accommodate the fetus passing through. Effacement : the lower segment of the uterus is pulled upward over the presenting part, resulting in effacement (thinning and shortening) of the cervix. Early contractions come at 5 and 15 minute intervals. Bloody show (a plug of mucus sometimes mixed with blood).ģ First stage of labor It begins with onset of regular uterine contractions and ends with full cervical effacement and dilation. First signs of labor (which often go unnoticed): Lightening : Relief of pressure in the upper abdomen. The length of time for each stage depends on whether the woman primipara or multipara. Labor : the process by which the product of conception are expelled out side uterus at term. ![]() ![]() ![]() Miada Mahmoud Rady."- Presentation transcript: ![]()
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