Contractions more frequent, but intensity decreases. Contractions are painful, but ineffective in dilating and effacing the cervix, and a prolonged latent phase may result.
Pitocin infusion or amniotomy
If the hypertonic pattern continues and develops into a prolonged latent phase, what may be considered?
May occur when the uterus is overstretched from a twin gestation, or in the presence of a large fetus, hydraminios, fetal malposition, prematurity, or grand multiparity.
Contributing factors include multiparity, large pelvis, previous kind of labor, and a small fetus.
Decreased perfusion from the placenta, Oligohydraminios, (which increases risk of cord compression), Meconium aspiration
Fetal risks associated with post term pregnancy
Non-stress Test & Biophysical Profile (BPP)
After completion of 40 wk gestation and birth has not occurred, what tests are used as assessment tools to determine fetal well-being?
Put mother in lateral sims position
What can be done to help turn the baby when in a persistent occiput posterior position?
Decrease fibrinogen level, decrease platelet count, and increase prothrombin/thromboplastin times
DIC does what to fibrinogen level, platelet count, and prothrombin/thromboplastin times?
Short of breath, usually seen in stage 2 (pushing stage) - emergency
1st sign of amniotic fluid embolism
~38 weeks; risks include labor, fetal distress (cord entanglement)
When to do external version and risks involved.
Maternal heart disease, pulmonary edema, infection and exhaustion.
Conditions that may indicate need for forceps