COMPLICATIONS OF POWER

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Created by
Pat Castro

Cards (24)

  • Types of power in labor
    • Primary
    • Secondary
  • Phases of labor

    • Latent
    • Active
  • Uterine contractions

    Caused by hormones
  • Intra-abdominal pressure

    Force exerted to help deliver the baby
  • Stages of uterine contractions
    • Increment/Crescendo (beginning)
    • Acme/Apex (peak)
    • Decrement/Descendo (end)
  • Duration

    Time from beginning to end of a contraction
  • Interval

    Time from end of one contraction to beginning of next
  • Frequency

    Number of contractions
  • Dystocia

    Prolonged/Dysfunctional/Difficult/Slow progress of labor
  • Effacement

    Thinning and obliteration (missing cervical canal)
  • Before giving birth, the cervix has a needle point shape
  • After giving birth, the cervix looks like a slit
  • Primigravida

    Effacement before dilatation
  • Multigravida

    Effacement and dilatation happen together
  • Risks of dysfunctional labor
    • Postpartal infection
    • Hemorrhage
    • Open maternal vessels
    • Infant mortality
  • Atony

    Uterus does not contract from beginning to end
  • Possible causes of dysfunctional labor
    • Primigravida
    • Pelvic bone contraction
    • Posterior fetal position
    • Extension of fetal head
    • Failure of uterine muscles to contract properly
    • Overdistention of uterus
    • Unripe cervix
    • Full rectum or urinary bladder
    • Exhaustion of woman in labor
    • Inappropriate use of analgesia
  • Fleet enema
    Not used anymore due to delay in effect and risk of infection
  • Nubain and Demerol

    Analgesics that can depress the respiratory center
  • Narcan

    Antidote for Nubain and Demerol
  • Uterine contractions

    Basic force that moves the fetus, occur due to interplay of contractile enzyme and electrolytes
  • Hypotonic contractions

    Infrequent, less than 10 mmhg resting tone, weak, active phase late onset, not exceedingly painful
  • Hypertonic contractions

    Frequent, increased resting tone more than 15 mmhg, strong but ineffective, latent early onset, more painful
  • Medication for hypertonic contractions

    Morphine sulfate (to relax uterus)