Ch. 6 - Nursing Care During Labor & Birth

Ch. 6 - Nursing Care During Labor & Birth - Chapter...

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Chapter 6 Chapter 6 Nursing Care of Mother and Infant  During Labor and Birth 
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Settings for Childbirth Settings for Childbirth Hospitals Advantages Disadvantages Freestanding Birth Centers Advantages Disadvantages Home Advantages Disadvantages Slide 2
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Cultural Influence  Cultural Influence  on Birth Practices on Birth Practices Role of woman in labor and delivery Role of father/partner in labor and  delivery Slide 3
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Components of the Birth  Components of the Birth  Process Process The Four “Ps” fetus through birth canal through the passage cope with birth process Slid e 4
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Factors That Influence  Factors That Influence  the Progress of Labor the Progress of Labor Preparation Position Professional Place Procedures Slide 5
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Passage Passage Bony pelvis Diameter of pelvic inlet Pelvic structure Soft tissues Cervix Effacement Dilatation Slid e 6
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The four types of female pelvis Gynacoid pelvis (female type) Android pelvis (male type) Anthropoid pelvis Platypelloid pelvis
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Powers - Uterine Contractions Powers - Uterine Contractions Effect of contractions  on the cervix Phase of  contractions Increment -   strength Peak – greatest  strength Decrement -    strength Frequency  Beginning of one  contraction to  beginning of next  Duration –  Beginning of one  contraction to end of that  contraction Intensity Mild – fundus easily  indented with fingertips Moderate – more difficult  to indent with fingertips Firm – cannot be  indented Maternal pushing Slid e 9
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Uterine contraction Cycle Uterine contraction Cycle Slid 10
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Cervical Effacement and  Cervical Effacement and  Dilation Dilation Slid 11
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Cervical  Cervical  Dilation Dilation
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Passenger Passenger Fetal head – molding to allow passage  through birth canal Anterior fontanelle Posterior fontanelle Lie – how fetus is oriented to mother’s  spine Longitudinal – fetus parallel to spine 99% of births Transverse – fetus 90 °  angle to spine Oblique – fetus 45  ° angle to spine
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Passenger Passenger Attitude – Flexion or extension of head,  Presentation – fetal part that enters the  pelvis first Vertex – head fully flexed – optimal (96%) Military – no head flexion or extension Brow – partial extension of head Face – full extension of head Frank breech – buttocks presenting  Footling – One or both feet presenting
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Passenger—Fetal Skull, Lie Passenger—Fetal Skull, Lie Slid 15
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Fetal lie Fetal lie
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Passenger—Presentation Passenger—Presentation Slid 17
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Fetal  Fetal  Presentation Presentation s and  s and  Positions Positions Slid 18
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Fetal Positions Fetal Positions
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Ch. 6 - Nursing Care During Labor & Birth - Chapter...

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