![]() ![]() The Maternity Nursing series follows along with our Maternity Nursing Flashcards, which are intended to help RN and PN nursing students study for nursing school exams, including the ATI, HESI, and NCLEX. During this phase, contraction intensity is stronger, interval shortens, and duration lengthens.This article focuses on factors affecting labor, especially fetal position and fetal station. Ensure that birthing companion of choice is present all throughout the course of labor.Īctive Phase starts from 4 cm cervical dilatation to 7 cm cervical dilatation.Ensure that the total number of internal examinations the woman receives in the entire course of labor is limited to 5 only.As early as this phase, encourage patient to begin alternative therapy of pain relief. Educate patient on different relaxation techniques.Conduct health teaching on breastfeeding, newborn care, and effective bearing down because during this time, patient’s anxiety is controlled and she is able to focus on nurse’s instructions.birth certificate) at this phase while the patient experiences minimal discomfort and has control over contraction pains. Conduct interviews and filling in of forms (e.g.Patients without pregnancy complications can still walk around and make necessary birth preparations. Upright maternal positions are recommended for women on the first stage of labor. Allow patient to be continually active. ![]() One of the most common cause of prolonged latent phase is cephalopelvic disproportion (CPD) and it requires cesarean birth. Determine if patient received anesthesia because it can prolong latent phase. On the other hand, for multiparas, it should be within 4.5 hours. For nulliparas, it should not be more than 6 hours. Provide continuous maternal support (compared to usual care). Assess patient’s psychological readiness.Here are nursing responsibilities during this phase: Latent (Preparatory) Phase starts from the onset of true labor contractions to 3 cm cervical dilatation. Uterine contractions reaching their peak, occurring every 2-3 minutes for 60-90 sĪs mentioned above, the first stage of labor is divided into three sub-phases, namely: latent, active, and transitional phases. Stronger uterine contractions lasting 40-60secs Onset of regularly perceived uterine contractions (mild contractions lasting 20-40 sec) Here are the stages of labor and significant events that mark their beginning and end: Stages of Laborġ0-12 hr but 6-20 hrs is the normal limit The progress of cervical effacement, cervical dilatation, and descent of the fetal presenting part dictate stages of labor. The nurse performs Leopold’s maneuver to determine the fetal presenting part, point of maximum impulse, fetal descent, and engagement.Īdmission into the labor room is only done when the patient is in active labor. In addition, the nurse assesses the following: vital signs, physical exam, contraction pattern (frequency, interval, duration, and intensity), intactness of membranes through a vaginal exam, and fetal well-being through fetal heart rate, characteristic of amniotic fluid, and contractions. Standard obstetric, medical, and social history taking is also done. blood type, allergies, etc.), previous illness, pregnancy complications, preferences for labor and delivery, and childbirth preparations. When a patient arrives at the labor floor, pertinent information about the pregnant woman’s health history is taken during admission. Expectations of the family about birth should be determined and it is also the best time to ascertain cultural values. At this point, they are all anxious and it is best for the nurse to convey his message gently and confidently. The nurse should introduce himself and make them feel welcome. To gain the patient and family’s cooperation and trust, it is important that the nurse should be able to establish a therapeutic relationship with them. It is a natural and dynamic process that signifies the end of pregnancy and the beginning of motherhood. Labor refers to the process of childbirth, during which a pregnant woman experiences rhythmic uterine contractions that lead to the progressive opening of the cervix and the eventual delivery of the baby. Nursing Process During Labor and Delivery.Fetal Position, Presentation, Size, & Passage.Care of the woman in the third stage of labor.Care of a woman in the second stage of labor.Care of a woman in the first stage of labor.This nursing note aims to explore the various aspects of labor, from the onset of contractions to the delivery of a newborn, and dig into the different stages, labor management techniques, and evidence-based nursing interventions. As dedicated healthcare professionals, nurses play a central role in providing comprehensive care and support during this momentous event. Labor, the transformative journey of childbirth, marks one of the most profound and exhilarating experiences in a woman’s life.
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