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Obs/Gynae - Normal Birth
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When is labour deemed normal?
It starts spontaneously after 37 weeks. Baby's head is down in the cephalic position.
Describe the first stage of labour:
Dilation 0-10 cm.
There may be a show.
Contractions become frequent, regular and stronger.
Membranes may rupture.
At 8cm dilation, mum will become vocal!
Describe second stage of labour:
Spontaneous membrane rupture.
Fully dilated cervix.
Contractions become explusive (3 in 10 mins = established labour)
Baby's head descends.
Baby's head crowns.
Completed with birth of baby's body.
Describe the third stage of labour:
Expulsion of placenta.
Takes 15-20 mins.
Cord lengthens.
Contractions restart.
Gush of blood (no more than 200-300ml).
What is considered a "delayed birth" of the placenta?
More than 20 mins
What should you assess for at the start of a normal birth?
ABCDE
History (gestation, maternity records).
A show.
Ruptured amniotic sac?
Contractions.
Bleeding?
Visual inspection of vaginal entrance.
Assess contractions.
Any urge to push?
Any crowning?
What prep is required for a birth area?
Resus area with BVM and O2 and PALS kit.
Inco pads.
Maternity pack.
Towels.
Blankets.
Turn heat up.
Entonox.
Primary response bag.
Call for backup!
How do you encourage mum to give birth?
Make sure she is comfortable (whatever position is best for her)
Entonox.
Allow head to be born slowly.
Encourage mum to keep breathing / pant.
Do NOT remove cord from baby's neck.
Hold baby as it's born.
Wipe away any mucous from baby's mouth.
How do you assess a newborn?
Tone
Colour
Heart rate
Resp rate
Wrap in dry twoel.
Quick ABCDE - check airway with neutral head position.
When/how do you cut the cord?
When placenta has been birthed.
2 clamps - 1 x 15cm from baby, 2nd x 3cm from that.
Ensure no parts of the baby are in the cord.
What are the best techniques to birth the placenta?
Get mum to squat.
Encourage her to pass urine.
Do NOT pull the cord.
Allow placenta to be born into a bowel.
How should you assess blood loss after the placenta delivery?
Should not exceed 200-300ml.
Perform a uterine massage.
Get backup if bleeding is severe.
Monitor and reassure mum.
Administer O2 target 94-98%.
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Author
jamiehaig
ID
346882
Card Set
Obs/Gynae - Normal Birth
Description
Obstetrics and Gynaecology normal birth flash cards
Updated
2019-05-11T17:38:35Z
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