Normal Labor and Birth Kim Ploch, mn, cnm, arnp


Help diminish normal pain response



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Help diminish normal pain response

  • Temp q 4 hrs

  • BP, P, R q 1 hr (BP>140/90, P>100, notify provider)

  • Combine rest and activity PRN

  • Monitor I & O and food intake

  • No ambulation if SROM with high station

  • Intermittent fetal monitoring if low risk

    First Stage Management

    Active Phase

    • Low risk - VS q 1 hr, high risk – VS q 30 ‘

    • Jacuzzi, shower

    • Assist with breathing techniques

    • RX for pain with narcotic or regional anethesia

    • Be alert for SROM – note color, odor, time, FHTs, meconium staining

    • Minimize visitors and distractions

    • Note labor progress or lack of it and KEEP PROVIDER INFORMED!!!!

    First Stage Management

    Transition

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