Page 51 - 2023 Elctronic Book (3) Normal Labor_Neat

• Alteration in oral mucus membrane related to mouth breathing.

• Alteration in nutrition to less than body requirements related to decreased oral
intake.
• Self-care deficit related to immobility during labor.

• Ineffective individual coping related to lack of support system.

Planning and Implementation
Nutrition and Hydration
• During labor, there is an excessive loss of fluids, and increased tendency to

exhaustion and dehydration due to strong muscular exercise.
• The woman's need for energy is met through nourishing oral fluids at frequent
intervals to maintain the fluid balance.

• Sometimes IV fluids are given to provide energy and prevent dehydration in case
of vomiting, ketosis and possible use of anesthesia.

• During early labor, the woman should receive about 75 ml of fluid per hour in
the form of juices, soups, or tea with sugar and digestive biscuits.
• Maintain an intake and output chart.

• Diet should be nutritious, easily digestible, and small in amount.
• Solid food is usually avoided during active labor since gastric emptying is

prolonged, and in anticipation of anesthesia, may cause aspiration of vomitus.
• If solid food is permitted, it should be rich in carbohydrates such as jam, honey
and canned fluids. Fats and proteins are not allowed because they are not easily

digested
Rest and Sleep
• Anxiety and painful uterine contractions produce sleeplessness. So, اأ أ5

important to be with the woman, reassure her, and encourage her to express
her discomfort, fear and anxiety, or help her to sleep by use of hypnotics.

• The nurse helps the woman fo sleep by.
o Have her evacuate the bladder.
o Serving her a warm, nourishing drink.
o Maintaining a quiet room with dim lighting and a comfortable bed.

• Rest is important in the first stage of labor to reserve energy, prevent
exhaustion and anxiety, and maintain mental equilibrium.

• Ambulation may decrease the need for analgesics, shorten labor, and decrease

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