What are the management of second stage of labour?

With increased use of regional anesthesia, electronic fetal monitoring and the shift in favor of active management of labor, the second stage is often accompanied by forceful bearing-down efforts, repeated Valsalva maneuvers and an increase in the use of forceps, vacuum extraction and episiotomies.

What are the nursing management of abnormal labour?

Nursing Management Review the history of labor, onset, and duration. Obtain baseline lab investigations. Assess uterine contractile pattern manually (palpation) or electronically, depending on the availability. Evaluate the current level of maternal fatigue/emotional stress.

What is the best position during the second stage of labor?

It is suggested that women in upright positions give birth more easily because the pelvis is able to expand as the baby moves down; gravity may also be helpful and the baby may benefit because the weight of the uterus will not be pressing down on the mother’s major blood vessels which supply oxygen and nutrition to the …

How do you monitor the second stage of labour?

9-11 What observations must be made during the second stage of labour?

  1. Listen to the fetal heart between contractions to determine the baseline fetal heart rate.
  2. Listen to the fetal heart immediately after every second contraction.
  3. Observe the frequency and duration of the uterine contractions.

What are your nursing responsibilities during the second stage of labor?

Here are nursing responsibilities in this phase: Inform patient on progress of her labor. Assist patient with pant-blow breathing. Monitor maternal vital signs and fetal heart rate every 30 minutes -1 hour, or depending on the doctor’s order.

Which of the following nursing interventions would the nurse perform during the third stage of labor?

During the third stage of labor, which begins with the delivery of the newborn, the nurse would promote parent-newborn interaction by placing the newborn on the mother’s abdomen and encouraging the parents to touch the newborn.

What are your nursing responsibilities during induction of labor?

Monitor fetal heart tones immediately before, during, and after the procedure. Observe and record color, amount, and odor of amniotic fluid; time of procedure; cervical status; and materbal temperature. Take and record the client’s temperature every 2 hours to assess for infection. Monitor for the onset of labor.

What is nursing Management cephalopelvic disproportion?

Cephalopelvic disproportion (CPD) is a medical issue that can arise during childbirth. It occurs when a baby is having trouble getting through the birth canal. The baby may be very large or in a difficult delivery position, or the mom’s pelvis may be too small for the baby to pass safely.

What is the poses of second stage?

The second stage begins when your cervix is fully dilated, your baby has moved deep into the pelvis, and you are ready to push. During the tiring second stage of labor, aid the effectiveness of your pushing with body positions such as kneeling, upright squatting, and being on all fours.

What position should be avoided during labor?

Certain upright positions such as squatting position and sitting position, may correlate with perineal trauma and greater blood loss. Lithotomy and supine position should be avoided for the possible increased risk of severe perineal trauma, comparatively longer labor, greater pain, and more fetal heart rate patterns.

What are the complications of second stage of labour?

A prolonged second stage of labor is known to be associated with increased risk of certain maternal complications, such as infection, urinary retention, hematoma, and ruptured sutures in the early postpartum period.

What nursing action is the priority for a client in the second stage of labor?

What nursing action is the priority for a client in the second stage of labor? Check the fetus’s position. Administer medication for pain. Promote effective pushing by the client.

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