Page 40 - 33Elctronic Book (3) Normal Labor

8- Demonstrate abilities for immediate neonatal care.

9-Demonstrate instrumental tray of normal labor.

10- Apply nursing care for woman with episiotomy& during vaginal examination.

11-Demonstrate items of preparing mother bag for delivery

Case Scenario:

Mrs. Heba is 22 years old and had previous vaginal delivery for twins. She is now

38 weeks gestation and presented to the labor ward an hour ago. She was found to

have uterine contractions, 3 in 10 min lasting 50 s each. At the time of arrival,

examination revealed a fundal height of 39 cm, cephalic presentation and 3/5

palpable abdominally. Vaginal examination revealed intact membranes with the

head 1 cm above the ischial spines, occipitoanterior position and the cervix

dilatation 5 cm. There is mild molding and moderate caput succedaneum. She was

commenced on continuous CTG monitoring which showed an initial baseline rate

135 b/m good variability, acceleration and no decelerations. Twenty minutes ago

spontaneous rupture of membranes occurred with clear liquor leaking after doctor

prescribed 2mg prostaglandin suppositories administered into the vagina at 6pm last

night and again at 6am in this morning.

Introduction:

The process of labor and birth involves more than the birth of a new born Numerous

physiologic and psychological events occur that ultimately result in the birth of a

newborn and the creation or expansion of the family. Therefore , labor and birth

require a woman to use all the psychological and physical coping methodsshe was

available. Regardless of the amount of childbirth preparation or the number of times

40

Contents