Bloody show—small amount of blood loss that results from exposed capillaries that occurs when mucus plug is dislodged; pink -tinged secretions; impending labor: 24-48 hr ROM—labor usually occurs within 24 hr Sudden burst of energy =(nesting instinct)— cleans everything in sight because she has so much energy; warn women to not overexert themselves; instead preserve energy for impending labor (24-48hr) Other signs: o Weight loss of 0.5-1.4 kg (1-3 lb): changes in estrogen and progesterone levels cause fluid and electrolyte shifts o Increased backache and sacroiliac pressure (increase relaxin) o N/V/D, and indigestion Difference between true and false labor o True labor: contractions are at regular intervals, interval between contractions gradually shorten; contractions increase in duration and intensity; discomfort begins in back and radiates around the abd; intensity increases with walking; cervical dilation and effacement are progressive; contractions do not decrease with rest/warm bath o False labor: contractions are irregular, intervals between don’t change; abdominal discomfort; walking decreases or has no effect on discomfort; cervical dilation and effacement don’t change; rest/warm bath lessens contractions • Second stage (10 cm – delivery!): initiated when cervix is fully dilated to 10 cm and ends when baby is delivery (15 mins– 2+ hrs.); contractions occur every 1 ½ to 2 minutes (close together) and are intense and last 60-90 seconds; the head of the fetus continues to descend in the pelvis and crowing occurs when the top of the baby’s head is visible at the external opening of the vagina; women begin to push during this stage to promote the advancement of the baby through the birth canal (only after full dilation=10cm).
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- Fall '12
- Nursing, vaginal discharge, contractions, Assess fetal HR, UC Q15-30 min, Assess Maternal VS