Page 52 - 2023 Elctronic Book (3) Normal Labor_Neat

incidence of fetal heart rate abnormalities.
• The woman is allowed to ambulate if there are no contraindications like

bleeding, premature rupture of membranes with high head, pregnancy-
induced hypertension, cardiac disease, or any other medical problems.

Comfort and Assistance
• Follow the aseptic techniques to prevent infection.

• Provide dry and clean clothes and bed linen for the woman.
• Reassure the woman that vomiting is normal (if it happens).
• Provide mouthwash and sips of water if her mouth is dry.

• Massage the back if she complains of backache.
• Relieve pain by encouraging deep breathing during contractions and use of

analgesics.
• Make dorsiflexion if cramps of her legs occur.
• Change the pad frequently if there is excessive vaginal discharge.

Preparation of the Woman in Labor
• Trimming of hair: trimming of hair is permitted to clean and disinfect the

vulva to prevent infection. Shaving is not advisable for fear of lacerations and
infection.
• Enema: Prepare and administer enema as ordered to stimulate uterine

contractions. Enema should be given early in the first stage of labor and not
repeated for S hours. Appendix L ( )
• Bath: A bath or shower is given following an enema and trimming of hair. If

the time is limited, wash at least from the umbilicus to the knees. Instruct the
woman to wear a clean nightdress or gown, and avoid using cosmetics.
• Hair and nails: Inspect and comb hair, and cut and clean nails.

• Perinea} swabbing: Swab the perineum on admission, then every 6 hours,
before and after vaginal examination, before delivery and before

catheterization. Cover the vulva with sterile pad (Appendix M) .
Posture of Woman in Labor
• The nurse should allow the woman to assume any comfortable position,
except the dorsal recumbent which may result in supine hypotension and lead

to fetal distress.
• The nurse should encourage the woman to walk in the room if she is not in

active labor and to lie down towards the end of the first stage of labor.

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