LABOR AND DELIVERY

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Mabilis na paglabas sa pelvic area walang time mag moding ulo ng bata, mabubugbog ang ulo ng bata that’s
why it’s not good to have precipitate delivery
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More bleeding if you push
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Uterus must relax, wag ibalik kapag matigas palang. Pinush in relax t assume proper position.
Dating anyo, tutulong na si oxytocin.
It is important to give oxytocin but after replacing the uterus. Uterus must be relax.
hysterectomy involves removing the uterus while leaving the ovaries in place

sisterectomy removing uterus

oophorectomy is the surgery to remove the ovaries and fallopian tubes.
TABISO removing uterus, fallopian tubes and ovary
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Stimulates the uterus to increase the intensity of contraction
Done with oxytocin or amniotomy (pinapaputok)
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Cephalic or breech position (longitudinal lie)
Don’t induce if it’s in transverse position
Ulo nasa baba, kailanan engage ang head. Very careful In doing induction.
The baby must be matured
Suppositories - Medication, inilalagay sa vagina so that when lamina expand it make the cervix. Pinapanipis
ang cervix ng babae to be ready to dilate. Pwede na mag induce ng labor.
Oxytocin – given iv fluid, to regulate strength and base from the obstruction of the uterus
Nilalakas ang flow if mahina contraction
Monitor the frequency, intensitiy.
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Passenger – baby
Mauuna dapat ang ulo then cord then placenta
Nauuna si umbilical cord causes anoxia to the baby. Naiipit ng ulo ng baby ang cord and it decreases the
oxygen, It might change the heartbeat of baby so it must be monitores.
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if the bag of water ruptures, assess the FHT. To make sure hindi lumabas si umbilical cord hindi lumabas.
Monitor if there is amoxia
pinapahina ang contraction
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Cephalic vertex, fully engaged, appropriate inlet outlet
ROA normal - Nakaharap si baby sa back ng nanay.
LOP abnormal – posterior, the back of the baby direct or the back of the mother.
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If the uterus has a problem, then it is not fully developing.
4. laylay na abdomen. The muscle will not carry, hindi nya kaya icompress si baby that’s why umiikot si baby
6. Hydrocephalus – Malaki ulo ni baby
Breech is delivered in a certain technique
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1. Relax uterus
Not contracted that cause complexion of the head move upward
This edema cause compromise respiration of the baby

1. It’s just temporary.

3. insert a tube upto the stomach, dun ibibigay yung milk
Inform the fam that Edeme may disappear as it causes pagdaan ng baby sa pelvic area
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Pahalang
Iikot ang bata pagdating ng full term
But the baby will not move, same position all through out
Hindi pwede paikutin
EXTERNAL CEPHALIC VERSION
Lessen cesarean birth
36 weeks that the baby haven’t in position yet
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Came from parents who have diabetes mellitus during pregnancy
Multipara – number of baby, lumalaki din baby nya
RISK:
1. an oversized fetus will stretch the uterus muscles, overstretch will not have enough capacity to do its
construction
2. hindi magkakasya, hindi makakalabas ang baby
3. during construction, possibility na ma
4. trial labor, maiipit katawan ng baby. Masikip, there is an affection in the nerves, and clavicle of the abby
5. madaling mapunit ang dadaanan ng baby.
Hemorrhage – overly stretch uterus, must watch out possibility of hemorrhage. Hindi na masyadong
makakapag contract is uterus that causes hemorrhage or bleeding.
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the biggest part of the baby is the head. Head is larger than should.
should bigger at 2 years.
The shoulder was stack inside but the head is out
Causes prolonged second stage of labor
Oversize baby
What to do:
When the head is delivered, do the McRoberts Maneuver in which we push the leg of the mother to her
abdomen, will open the pelvic area. Lalakihan nya yung pelvic outlet, so the delivery of the shoulder must be
done.
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Passage – pelvic area
Inlet – mas mataas level, measure anterior and posterior diameter of the outlut
Outlet – not lower than 11 cm
Anterior –
Posterior – spine
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Classic in emergency, mas mabilis ma access