Page 234 - Critical Maternity & Newborn Health Nursing

5. Less important factors: full bladder, rectum, placenta previa, pelvic

tumor & large head.

Management

A. FIRST STAGE OF LABOR

1) Guard against premature rupture of membrane:

1. Keep the patient in bed, no walking allowed.

2. Avoid unnecessary P.V Examination.

3. No bearing down before full cervical dilatation.

2) Guard against Uterine Inertia:

1. Glucose 5% I.V solution

2. Sedation: relieve pain but avoid heavy sedation

3. Frequent micturition

4. Low enema to evacuate the rectum

3)Guard against infection:

1. Antibiotic: if there is prolonged labor or premature rupture of

membranes

2. Aseptic vaginal examination.

4) Observation:

1. Maternal: every 1-1/2hr).

a. Pulse, temperature, and blood pressure

b. Uterine contraction: for frequency and duration.

c. Cervical dilation and effacement

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