COMPLICATIONS OF LABOR

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COMPLICATIONS OF LABOR
DEBBIE AMASON, RN,MS SPRING 2002
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• Incidence
• 3 components
• nurses role

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Powers

• Definition
• Ineffective contractions
• causes
• types

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Prolonged Latent Phase

• Definition
• characteristics
• management

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Protracted active phase

• Definition
• characteristics
• management

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Secondary arrest of dilation

• definition
• characteristics
• types
• management

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Contraction rings

• pathologic retraction ring
• pathology
• management
• consequences

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Precipitous labor

• Definition
• characteristics
• risks
• mother
• fetus
• management

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Uterine rupture

• incidence 11500
• cause
• contributing factors
• consequences
• symptoms
• treatment

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Inversion of uterus

• definition
• factors
• symptoms
• management
• nursing responsibilities

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Amniotic Fluid Embolis

• pathophysiology
• facors
• symptoms
• management
• prognosis

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Prolapse of Cord

• Definition
• risk factors
• management
• nursing responsibilities

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Multiple gestation

• need additional personnel for each fetus
• management
• nursing responsibilities
• risk factors

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Presentations

• Abnormal
• types
• consequences

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Macrosomia

• definition
• predisposing factors
• consequences
• mother
• fetus
• treatment

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Passage

• inlet or outlet contractions
• cause
• treatment

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External version

• purpose
• procedure

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Management of Labor Problems

• Induction vs. augmentation
• reasons to induce
• cervical ripening
• Bishops Score

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Oxytocin Induction

• preparation
• indications
• danger signs
• observe for s/sx water intoxication

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Forcep delivery

• Indications
• procedure
• purpose

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Vacuum Extraction

• head at perineum
• advantages
• disadvantages

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Placental anomalies

• types
• placenta succenturiata
• velamentous insertion of cord
• placenta accreta
• 2 vessel cord