Prolonged Labour - Edubirdie

University:
Western Sydney University
Course:
MEDI 2003 | Clinical Sciences 2
Academic year:

2024
Views:

425

Pages:

4
Author:

Mariam A. A.

Prolonged Labour Assessment HISTORY Confirm name and gestational age When did she go in labour? Did she rupture her membranes? Liquor colour and amount Is there a bloody show? Was this labour induced, or no? Strength, frequency and duration of contractions? Do we know the shape of her pelvis? What is the position and station of the presenting part? What is the foetus lie and presentation? What is the fetal attitude? Is the flexed? What is the fetal size? Is the head moulding? what pain relief or medications has she been given throughout her labour? Are there any concerns about maternal and fetal wellbeing esp. CTG? Was this pregnancy complicated or was anything abnormal detected during visits? Obstetric history Gyn history Medications Past medical history Past surgical history Family history Allergies Conditions for forceps delivery Fully dilated cervix Empty bladder No part of the fetal head is palpable above the symphysis pubis Requires an episiotomy Station is below the ischial spine Must be in correct position of the fetal head No obvious cephalopelvic disproportion Adequate analgesia available Cephalic presentation Complications of a forceps delivery Maternal complications Short term Vaginal lacerations Perineal injuries/anal sphincter tears Extension of episiotomy Urinary retention PPH Long term Incontinence of flatus/faeces Dyspareunia (if perineum scarred/injured) Fetal complications Scalp/face lacerations/bruising Cephalohematoma Subconjunctival haemorrhage Facial nerve injuries Skull fracture

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