Page 89 - 33Elctronic Book (3) Normal Labor
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retardation.
▪ Multiple pregnancy.
▪ Breech delivery.
▪ Mild Rh disease as determined by obstetrician.
▪ Maternal illnesses, such as:
✓ Diabetes mellitus.
✓ Pre-eclampsia.
✓ Thyroid disease.
▪ Suspected infection, including:
✓ Maternal fever during labor.
✓ Rupture of membranes > 18 hours.
✓ Other findings identified by the obstetrician.
o Personnel:
▪ Pediatric resident.
▪ Intensive care nursery nurse.
▪ Assistant specialist or specialist (only if the obstetrician or the pediatric
resident feels necessary).
o Equipment:
▪ Infant care equipment as indicated above.
▪ Emergency cart or the NICU should be ready for immediate use:
✓ The Emergency cart: contains several drawers that have all the required
emergency medications (such as: epinephrine, NaHC03, calcium gluconate,
saline, etc.) and tools (such as: IV catheters, endotracheal tubes, chest tubes,
etc.). This cart is physically located on each floor or unit and can be moved
to the bedside
o High risk delivery
o Identification:
Premature delivery less than 32 weeks gestation.
▪ Severe Rh disease.
▪ Several antepartum or intrapartum hemorrhage.
▪ Suspected asphyxia (such as: cord prolapsed or loss of fetal heart rate).
o Personnel:
▪ The most senior resident or assistant specialist in house.
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