Page 84 - 2023 Elctronic Book (3) Normal Labor_Neat

o Put gloves on
During Labor

Deliveries can be classified into three categories according to the expected risk to
the newborn.
o Low risk delivery:
o Identification:

 Mothers with uncomplicated pregnancy, labor and delivery.
o Personnel:
 Labor room nurse will provide the care to the normal infant in the labor

room.
 If the infant is unexpectedly ill, resuscitation should start while awaiting
the arrival of the pediatric staff.

o Equipment:
 The labor room nurse is responsible for ensuring that the following infant
care equipment is present and operating properly:

 Infant bed warmer.
 Oxygen unit.
 Infant suction apparatus.
 Infant resuscitation bag and masks.

 Laryngoscope with appropriate endotracheal tubes.
o Mild to moderate risk delivery
o Identification

 Premature delivery from 32 - 36 weeks gestation.
 Post-term delivery greater than 42 weeks gestation.
 Meconium stained amniotic fluid.

 Cesarean section.
 Fetal distress as determined by obstetrician. Expected fetal growth
retardation.

 Multiple pregnancy.
 Breech delivery.
 Mild Rh disease as determined by obstetrician.
 Maternal illnesses, such as:

 Diabetes mellitus.
 Pre-eclampsia.

 Thyroid disease.

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