MCHN

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ACTIVITY 1: DEFINITION OF TERMS.

1. Amnioinfusion-A technique of instilling an isotonic fluid,such as a normal saline or lactated ringer’s


solution, into the amniotic cavity with the purpose of thinning out a thick meconium that has been
found to pass into the amniotic fluid.
2. Amniotic fluid embolism-is a rare but serious condition that occurs when amniotic fluid the fluid that
surrounds a baby in the uterus during pregnancy or fetal material, such as fetal cells, enters the
mother's bloodstream.
3. Augmentation of labor-A labour that's progressing slowly can be augmented, which means certain
techniques are used to speed it along. If your cervix is opening slowly, or the contractions have slowed
down or stopped, your midwife or doctor may suggest medications or techniques to speed up labour.
4. Battledore placenta-Abnormal insertion of the umbilical cord
5. Dysfunctional labor-Refers to prolongation in the duration of labor,typically
in the first stage of labor.
6. Dystocia- Abnormal labor or childbirth.
7. External cephalic version-A procedure used to help turn a baby in the womb
before delivery.
8. Hypertonic uterine contraction-Is persistent high tone of uterine contractions during and in between
contractions.
9. Hypotonic uterine contraction-When the uterine contractions are weak, short lived (duration),
infrequent, irregular and shallow.
10.Induction of labor- Non surgical treatment to induce the labor with the help of medications or
devices to open the lower uterus, usually after crossing the due week.
11.Oxytocin- A peptide hormone and neuropeptide normally produced in the hypothalamus and
released by the posterior pituitary.
12.Placenta accreta- A potentially life-threatening complication that develops in pregnancy when the
placenta (the organ that sustains the baby in utero) grows too deeply into the uterine wall, making it
unable to separate after delivery.
13.Placenta circumvallata- A placental anomaly in which the transition from membranous to villous
chorion occurs away from the placental edge.
14.Placenta marginata- A thin fibrous ring is present at the margin of the chronic plate where the fetal
vessels appear to terminate.
15.Placenta succenturiate- An abnormality in placental morphology where there is one or more
accessory lobes that may be connected to the main part of the placenta by blood vessels. 16.Precipitate
labor- It's usually defined as one in which your baby is born within three hours from the start of
contractions.
17.Umbilical cord prolapse- occurs when the umbilical cord exits the cervical opening before the fetal
presenting part.
18.Uterine inversion- is a rare emergency complication during childbirth where your uterus turns
partially or completely inside out.
19.Vacuum extraction- is one kind of assisted delivery procedure that can help get your baby through
the birth canal when labor is stalled in the second stage.
ACTIVITY 2 : TEACHING PLAN
1. Prepare a teaching plan for a woman in labor that addresses methods or maintaining a maximum
state of comfort during the first and second stage
First Stage of Labor
• During the first stage of labor, contractions of the uterus help your cervix thin (efface). They also help
it widen (dilate). This will help your baby pass through the vagina (birth canal). At first your contractions
won't come that often or last that long. But as time passes, they will come more often, they may be
more painful, and they will last longer. They will last about 30 to 60 seconds each. The first stage of
labor lasts until the cervix is fully dilated.
➢ Pace yourself

➢ Allow time to adjust


➢ Share labor with companion
➢ Do it your way
➢ Use touch to relax
➢ Get some rest
➢ Distract yourself to relax
➢ Nourish yourself
➢ Use positive labor affirmations
➢ Use cold to dull pain and heat to aid relaxation and comfort
Second Stage of Labor
• When your cervix is fully dilated, the second stage of labor begins. In this stage, you will have stronger
contractions of your uterus that will help your baby move down the birth canal. They may happen every
2 to 5 minutes. They may last from 45 to 90 seconds each. Your healthcare provider will ask you to push
with each contraction. Try to rest between the contractions if you can. Your baby is delivered at the end
of this stage of labor.
➢ Get into a pushing position that uses gravity to your advantage
➢ Push when you feel the urge
➢ Relax your pelvic floor and anal area (Kegel exercises can help)
➢ Rest between contractions to help regain your strength
➢ Use a mirror to view your progress (this can be very encouraging!)
➢ Use all your energy to push
➢ Do not become discouraged if your baby’s head emerges and then slips back into the vagina (this
process can take two steps forward and one step back)
ACTIVITY 3 CRITICAL THINKING
Debbie and Craig O’Hara are a married couple having their first baby. Craig works as a football coach;
Debbie is a telemarketer. When you admit them to a birthing room, Debbie tells you, “I’m going to have
a terrible labor because something’s wrong with my baby.” On examination, her cervix is 4 cm dilated,
75% effaced; contraction duration is 30 seconds; and frequency is every 5 minutes. Her fetus is in an
occipitoposterior position.
1) Would you assume when Debbie said “something’s wrong with my baby” she meant the posterior
position? Would you assure her the baby will be fine?
▪ Yes, I will assure that her baby is safe but I would say to her that she having a Cesarian Birth or
Operative Vaginal Delivery to make sure her baby is safe and it not may lead to any abnormalities to the
baby and to the mother.
2) Debbie’shusbandtellsyouhe’sproudhe’shavingaboy.Younoticehetalksto his son all during labor with
comments such as “Why aren’t you following the playbook?” or “Put your head down and push. The
clock is running.” Would you be concerned he’s coaching his son and not his wife?
▪ Yes, I concerned that he is not concerned her wife because the wife also need a moral support to
reduce her stress and telling her that she can do it.
3) Debbie’sprimarycareproviderwantsDebbietorestbetweencontractionsonher hands and knees in the
hope that will help her fetus rotate more efficiently and avoid a cesarean birth. Craig tells you he’d
rather Debbie have a cesarean than spend so long in labor. How would you respond to him?
▪ I will be going to tell that he have to wait for the doctor’s order if she having a cesarean birth and I also
tell his husband that we are trying our best to deliver the baby safely and normal and also the mother
safety but now we are going to monitor the baby and the mother if she having a cesarean birth.

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