MCN 2 RBE

• Most common problem with the Passenger is cord compression = FETAL HYPOXIA
• Intra uterine fetal death IUF
• Nasal canula use


  Above 6 liters use face mask
• Rickets


  Deficiency of Vitamin D
• Allowed to Trail labor

  Previous CS, cervical dilatation or decent in engagement
• If there is a fetal distress

  Discontinue Trial Labor, stop oxytocin, and administer CS
• Oxytocin use


  Careful - hemorrhage or contraction ONLY IV
• CPD


  Very common problem with teenage pregnancy
• Maneuver: Lithotomy


  Put the legs in 90 degrees angle, push gamay uterus, instruct the mother to push and maneuver
• Anomalies of the Placenta
• Signs of Shock


  tong
• Removal of uterus


  The Uterine Contraction
• Do Oxytocin cuz this Leads Fetal Injury, or Death
• Deliver the baby immediately if Fetal Distress

  NSVD
• Hypotonic


  Use Oxytocin
• Pain relief But may cause respiratory distress
• Lead to fetal anoxia USE PAIN RELIEF MEASURES
• Naay indention sa center, naay mo form na ring


  Called Bundle of Ring
• Cocain cause preterm labor
• Preterm labor, focus on stopping the labor
• Deliver the fetus early
• Tocolytics


  Increase lungs surfactant
• And methotrexate
• Do not stop fetus from being delivered
• Episiotomy


  Heal faster than laceration
• Nabali
• Rare
• Breech


  Recommend CS
• Complete Breech


  Do Trial Labor
• Increase IV


  Stop Oxy drip
• Side lying is suggested
• First sign of shock

  Always tachycardia increase rr then decrease bp
• 300-500 normal
• Check postpartum hemorrhage
• Naa sa Cervical Os and Tear
• Uterine Inversion


  Most doctors put it back, if grabe, laparoctomy or cut of sa uterus SEVERE
• POSTPARTUM HEMORRHAGE


  Might be caused by fundal push
• Lochia


  1. 4 rubra 4-8 serosa and alba (something sorry… waz kaau ko kebaw na after)
• Remember Taking in to Letting Go Phase
• Varicose veins


  You can palpate the enlarged hardened veins