NUR 212 Lecture Notes - Lecture 10: Uterine Atony, Postpartum Bleeding, Chorioamnionitis
30 Nov 2018
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Document Summary
Risks: hypertonic uterine contractions-placenta is not perfusing which impairs fetal. Post-date pregnancy-placenta starts to break down after a certain point. Srom at term without spontaneous labor-prolonged exposure without labor. Induction-starting from scratch, inducing a labor that didn"t exist. Intrapartum procedures: labor induction and augmentation (pitocin), operative vaginal births (forceps, vacuum, episiotomy), cesarean birth (regional and general anesthesia) Induction: why?-extrauterine environment is safer for the baby than intrauterine life increases the risk for infection can dislodge the placenta and causes a risk for bleeding), pre-existing chronic illness oxygenations. Potential for uterine rupture-increased risk for over-distention or tolac. Increased potential for-c section, chorioamnionitis, postpartum uterine atony (pitocin has triggered mothers uterus to contract for so long, that the uterus becomes fatigued with no tone which is a major risk for postpartum hemorrhage. quicker delivery. Cervical ripening: initiates dilation and effacement of the cervix. Misoprostol-intravaginal or po administration segment and cervix, slowly opens the cervix.
