Labor and Delivery Summary
Overview of Labor Physiology
Physiology of Labor: Sign of Labor
Key indicators: bloody show, burst of energy, contractions, spontaneous rupture of membranes
True labor defined by cervical changes and contractions
Cervical Changes
Effacement and Dilation
Effacement: cervix thinning measured in percent (100% is fully effaced)
Dilation: opening of cervix from 0 cm to 10 cm
Fetal station measured relative to ischial spines (0 = level, + for below, - for above)
Fetal Position and Station
Cephalic Position
Best presentation is cephalic (vertex head down) for faster delivery
Monitor fetal position and attitude (flexed limbs ideal)
Labor Progression Monitoring
Contractions Assessment
Monitor: frequency (beginning to beginning), duration (start to end), intensity (strength at peak)
Desired contractions: 60 seconds duration, 2-3 minutes apart
Maternal Position and Psych
Impact of Maternal Position
Moving during labor can progress labor, even with epidurals
Psychological Factors
Mental preparation can lower anxiety affecting labor progression
Pain Management
Pain in Labor
Labor is natural but painful; each woman's perception varies
Pain management can include medications (IV pain meds, epidurals) with risks after 6 cm dilation
Stages of Labor
First Stage: Regular contractions to full dilation (10 cm); longest for first-time mothers
Early Phase: Up to 6 cm dilation
Active Phase: Increased focus on contractions
Second Stage: Pushing phase until baby is born
Third Stage: Delivery of placenta (5-15 mins)
Immediate Postpartum Care
Recovery
Assess uterine firmness and bleeding; monitor signs of infection
Encourage bonding and education on postpartum changes
Lochia Assessment
Lochia rubra (bright red), then serosa (pink/brown), then alba (white) progress
Complications and Emergencies
Umbilical Cord Prolapse: Emergency; causes fetal distress, requires immediate action
Shoulder Dystocia: Obstetric emergency requiring maneuvers (McRoberts, suprapubic pressure)
Uterine Rupture: Signs include sudden abdominal pain, cessation of fetal heart tones
Preterm Labor
Defined by contractions and cervical change before 37 weeks; management focuses on delaying delivery to allow fetal lung development
Techniques for Inducing Labor
Chemical and Mechanical Induction: Using prostaglandins or foley balloons to soften the cervix and induce contractions
Summary of Nursing Care
Ongoing education, monitoring vital signs, lochia changes, and uterine tone
Non-stress tests for ongoing fetal monitoring and care, especially if induction occurs
Emotional Care Post Loss
Provide support during perinatal loss, facilitate bonding with the infant, and prepare for the emotional response involved with loss.