Labour and Delivery: The Fourth Stage of Labour

These flashcards cover key terms and concepts related to the fourth stage of labour and delivery, focusing on maternal and newborn care.

Fourth Stage of Labour

The period of one hour after birth during which immediate postpartum care is provided.

Blood Loss

The estimated amount of blood loss should not exceed 500ml during the fourth stage of labour.

Lochia

The vaginal discharge following delivery, monitored to ensure it is not excessive.

Perineal Pad Inspection

The process of checking the perineal pad to note the amount of blood loss.

Vital Signs Monitoring

Blood pressure, temperature, and pulse should be monitored every 15-30 minutes after delivery.

Bladder Care

Post-delivery checks to ensure the woman is able to pass urine, considering possible oedema and other factors.

Uterine Contraction Checks

The uterus should be checked for contraction every 15 minutes during the first hour post-delivery.

Breastfeeding Initiation

Breastfeeding should begin within the first hour after delivery.

General Maternal Care

Includes rest, monitoring condition, and ensuring comfort in the immediate post-delivery period.

Cervical Inspection

The examination of the cervix for tears or lacerations immediately following delivery.

Placenta Examination

The process of inspecting the placenta and membranes after delivery to ensure completeness and identify abnormalities.

Oxytocics Administration

Medications such as ergometrine or oxytocin given post-delivery to manage uterine contractions.

Bonding

The psychological connection that occurs between the parents and the newborn immediately after delivery.

Circumvallate Placenta

A placental abnormality where the fetal membranes double back on the fetal side around the edge of the placenta.

True Knot

A knot formed in the umbilical cord when the fetus passes through a loop before or during birth, which can lead to hypoxia.

Placenta Succenturiata

A condition where an extra lobe of the placenta is present and can potentially remain in the uterus.

Atony

A condition of the uterus when it fails to contract adequately after delivery, leading to risks of hemorrhage.