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    Ppt3d - Intrapartum Care Assessment

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    Sonia Singh
    This document discusses the assessment, supportive care, and vaginal examinations during labor. It emphasizes the importance of ensuring a safe delivery for both mother and child through early detection and management of complications. Care during labor involves taking a medical history, conducting physical exams, monitoring the fetal heart rate and contractions, and determining the stage of labor through vaginal exams. Supportive care includes maintaining privacy, allowing mobility, encouraging fluids, and using non-pharmacological pain relief methods. Vaginal exams are done carefully and only when necessary to assess cervical dilation, fetal position, and monitor labor progress. Proper assessment of the pelvis and documentation of exam findings is also discussed.

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    Ppt3d - Intrapartum Care Assessment

    Uploaded by

    Sonia Singh
    159 views12 pages
    This document discusses the assessment, supportive care, and vaginal examinations during labor. It emphasizes the importance of ensuring a safe delivery for both mother and child through early detection and management of complications. Care during labor involves taking a medical history, conducting physical exams, monitoring the fetal heart rate and contractions, and determining the stage of labor through vaginal exams. Supportive care includes maintaining privacy, allowing mobility, encouraging fluids, and using non-pharmacological pain relief methods. Vaginal exams are done carefully and only when necessary to assess cervical dilation, fetal position, and monitor labor progress. Proper assessment of the pelvis and documentation of exam findings is also discussed.

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    Ppt3d_Intrapartum Care Assessment

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    This document discusses the assessment, supportive care, and vaginal examinations during labor. It emphasizes the importance of ensuring a safe delivery for both mother and child through early detection and management of complications. Care during labor involves taking a medical history, conducting physical exams, monitoring the fetal heart rate and contractions, and determining the stage of labor through vaginal exams. Supportive care includes maintaining privacy, allowing mobility, encouraging fluids, and using non-pharmacological pain relief methods. Vaginal exams are done carefully and only when necessary to assess cervical dilation, fetal position, and monitor labor progress. Proper assessment of the pelvis and documentation of exam findings is also discussed.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    159 views12 pages

    Ppt3d - Intrapartum Care Assessment

    Uploaded by

    Sonia Singh
    This document discusses the assessment, supportive care, and vaginal examinations during labor. It emphasizes the importance of ensuring a safe delivery for both mother and child through early detection and management of complications. Care during labor involves taking a medical history, conducting physical exams, monitoring the fetal heart rate and contractions, and determining the stage of labor through vaginal exams. Supportive care includes maintaining privacy, allowing mobility, encouraging fluids, and using non-pharmacological pain relief methods. Vaginal exams are done carefully and only when necessary to assess cervical dilation, fetal position, and monitor labor progress. Proper assessment of the pelvis and documentation of exam findings is also discussed.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 12

    SBA - Presentation 3 (d)

    Care during labor: Assessment, supportive care and vaginal examination


    Maternal Health Division Ministry of Health & Family Welfare Government of India

    Session Objectives
    To learn about Assessment of woman in labor Supportive care during labour

    Vaginal examination during labour

    Care during labor: Assessment, supportive care and vaginal examination

    What is the importance of Intrapartum care?


    Ensuring a safe delivery resulting in a healthy mother and child Early detection and management of complications and timely referral, if required

    Care during labor: Assessment, supportive care and vaginal examination

    Assessment of a pregnant woman in labour


    Take history Check records Carry out general physical examination Do abdominal examination Fetal lie Fetal presentation FHR Frequency and duration of contractions Conduct a P/V examination to decide the stage of labour

    Care during labor: Assessment, supportive care and vaginal examination

    Supportive care during labour


    Ensure privacy and respect dignity of the women Ensure a draught free room for delivery (25C - 28C) Explain all examinations and procedures Discuss the findings with her Take consent for all procedures Reassure that all is well Allow a birth companion to Massage the mothers back Hold the her hand Sponge her face between contractions
    Care during labor: Assessment, supportive care and vaginal examination 5

    Supportive care during labour


    Allow a comfortable position for labour and delivery

    Encourage frequent change in position and mobility in first stage


    Encourage frequent emptying of bladder (2 hourly)

    Allow light low-fat food


    Encourage her to have plenty of fluids Enema should not be given routinely

    Care during labor: Assessment, supportive care and vaginal examination

    Supportive care during labour


    The non - pharmacological methods of pain relief

    Speaking in calm and gentle voice


    Offering encouragement and reassurance to the woman

    Relaxation techniques
    Placing a cool cloth on womans forehead.

    Care during labor: Assessment, supportive care and vaginal examination

    Vaginal examination during labour


    Vaginal examination: Take consent Do not shave perineal area Ask woman to pass urine Wash hands with soap and water Be gentle Carry out the vaginal examination under strict aseptic conditions Do not do vaginal examination if woman has bleeding Vaginal examination should be done only at defined interval, too frequent P/V may cause infection

    Care during labor: Assessment, supportive care and vaginal examination

    Vaginal examination
    Done for:
    Pelvic adequacy Stage of labor Progress of labor Assess cervical dilatation and effacement Determine membrane status - absent or present Station of the presenting part Assess pelvis
    Document all findings of vaginal examination

    Care during labor: Assessment, supportive care and vaginal examination

    Pelvic assessment
    In a normal pelvis
    Sacral promontory is not reached.
    Sacrum is well curved. Sidewalls are nearly parallel.

    Ischial spines are not prominent and both cannot be felt at the same time.
    Posterior surface of the symphysis pubis is smooth, and rounded curve Sub pubic angle accommodates two fingers Transverse diameter of the outlet admits 4 knuckles.
    Care during labor: Assessment, supportive care and vaginal examination 10

    Cervical effacement

    Cervical effacement: progressive shortening and thinning of the cervix during labour. Cervical dilatation: increase in the diameter of the cervical opening measured in centimeters A fully dilated cervix has an opening of 10 cm at this stage, the cervix is no longer felt on vaginal examination.

    Care during labor: Assessment, supportive care and vaginal examination

    11

    Thank you

    Care during labor: Assessment, supportive care and vaginal examination

    12

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