Page 264 - Critical Maternity & Newborn Health Nursing

- Vaginal examination will confirm suspected malpresentation and

where the presentation is vertex reveal increasing caput

succedaneum or molding.

-With a high presenting part in labor cervical dilatation will be

extremely slow.

- An intravenous infusion must be commenced, to correct

dehydration.

- Blood is taken for cross-matching in case a transfusion is needed.

- The mother will require treatment with antibiotics, to overcome

any infection that may be present

- If the labor is becoming obstructed in the first stage an

emergency caesarean section will be carried out.

- If the delay occurs in the second stage because of deep transverse

arrest the obstetrician may try to deliver the baby vaginally with

ventous but if that fails or is not possible an emergency caesarean

is carried out

- Following the birth of the baby and prior to repair of the uterus

and abdomen, the surgeon will check carefully for any indication

that the uterus has ruptured.

- Despite the very real threat to maternal and perinatal well-being

these procedures should only be undertaken with maternal consent.

Follow up Activity:

Scenario V:

263 Table of Contents