NUR 413 Lecture Notes - Lecture 6: Umbilical Cord, Trilobite, Prostaglandin
6 May 2020
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Gradual effacement & dilation of the uterine cervix. As a result of rhythmic uterine contractions. Leads to the expulsion of the products of conception (poc) comprised of: fetus, membranes, umbilical cord, placenta. This hormone really important at maintaining pregnancy: prostaglandins. Soften & efface the cervix: oxytocin. Less pressure on diaphragm: pain & pressure. Pressure on cervix: voiding & discharge. Braxton hicks contractions: irregular, warm up contractions, begins anywhere after 30 weeks, women experience tightening. Rupture of membranes: 12% before onset of ctx. Sudden burst of energy: nesting, lots of cleaning. Monday, march 30, 2020: may be loss of appetite, may be emptying of bowels. Intervals gradually shorten: come more frequently. Discomfort radiates from back to abdomen: whole body experience. Don"t decrease with: rest/relaxation (warm bath, fluids, voiding, cervical dilation. Lessen with: ambulation, rest, fluids, voiding, cervical dilation. First: onset of regular contractions to full (10cm) dilation & effacement. Second: full dilation & effacement of the cervix to delivery of fetus.
