What is intrapartum nursing care?
Intrapartum nursing care is the care given by nurses and midwives for labouring mother during labour and delivery [1]. According to WHO, more than 600,000 women die each year from complications arising from pregnancy and labour and delivery.
What assessments should be made to evaluate the progress of labor?
Each evaluation should include:
- assessment of maternal status;
- description of uterine activity;
- assessment of fetal status;
- description of findings on vaginal exam, if performed, including cervical dilation and effacement, fetal station, change in status of membranes, and progress since last exam;
What nursing interventions should the nurse do to monitor progress of labor?
Transition Phase
- Inform patient on progress of her labor.
- Assist patient with pant-blow breathing.
- Monitor maternal vital signs and fetal heart rate every 30 minutes -1 hour, or depending on the doctor’s order. Contraction monitoring is also continued.
- When perineal bulging is noticeable, prepare for delivery.
What are the nursing procedures done for the patients during labor and delivery?
These interventions can include bed rest/recumbent position, electronic fetal monitoring (EFM), limited oral intake during labor, frequent vaginal exams, inductions/augmentations, amniotomy, regional anesthesia, catheterization, ineffective pushing, episiotomy, instrumental vaginal birth, and cesarean surgery.
What does intrapartum mean in pregnancy?
: occurring or provided during the act of birth intrapartum fetal monitoring intrapartum complications — compare intranatal.
What assessments are important following delivery?
BREASTS. The breasts are assessed for:
What is the most important nursing intervention during the fourth stage of labor?
What is the most important nursing intervention during the fourth stage of labor? Assess for hemorrhage.
Why is it special to be a delivery room nurse?
Labor and delivery room nurses play an important role for expecting and new mothers. Labor and delivery room nurses not only provide birthing education, do medical tasks, support the doctor in emergencies, but also provide emotional support.
What are the expected vital signs for a woman in labor?
Check her vital signs Blood pressure: normal values range between 90/60 mmHg to below 140/90 mmHg. Maternal pulse rate: normal range is 80-100 beats/minute, but should not be greater than 110 beats/minute in a woman in labour.
What is intrapartum assessment?
The purpose of intrapartum fetal heart rate monitoring is to detect episodes of hypoxia and prevent neonatal morbidity and mortality. Intermittent auscultation was used as early as the 1800s for evaluating fetal well-being, and the criteria for fetal distress were established by the mid-1850s.
What should be included in a labor and delivery assessment?
The monitoring clinician should document in the medical record at the time of identification of second stage, after two hours of second stage, and hourly thereafter. This documentation, which should be dated and timed, should include, at a minimum: assessment of progression and a plan for delivery.
What should be included in a pregnancy assessment?
This documentation, which should be dated and timed, should include, at a minimum: assessment of maternal status; assessment of fetal status; description of uterine activity; fetal station and, if known, position; and assessment of progression and a plan for delivery.
When does a midwife need to evaluate a patient during labor?
No later than the end of the second hour of the second stage of labor, and every hour thereafter, the attending physician or midwife should personally evaluate the patient and document in the medical record the minimum as noted above.
