Emergent delivery - Revision history

Rossdonaldson1: /* Emergent Delivery Instructions (3nd Stage) */

2022-12-14T19:38:56Z

Emergent Delivery Instructions (3nd Stage)

← Older revision		Revision as of 19:38, 14 December 2022
Line 131:		Line 131:

	===Emergent Delivery Instructions (3nd Stage)===		===Emergent Delivery Instructions (3nd Stage)===
			[[File:Human placenta 02.jpg\|thumb\|Normal whole placenta (fetal side).]]
	[[File:Human placenta 01.jpg\|thumb\|Normal whole placenta (maternal side).]]		[[File:Human placenta 01.jpg\|thumb\|Normal whole placenta (maternal side).]]
	*Placental delivery		*Placental delivery

Rossdonaldson1: /* Emergent Delivery Instructions (3nd Stage) */

2022-12-14T19:36:59Z

Emergent Delivery Instructions (3nd Stage)

← Older revision		Revision as of 19:36, 14 December 2022
Line 131:		Line 131:

	===Emergent Delivery Instructions (3nd Stage)===		===Emergent Delivery Instructions (3nd Stage)===
			[[File:Human placenta 01.jpg\|thumb\|Normal whole placenta (maternal side).]]
	*Placental delivery		*Placental delivery
	*Maintain manual suprapubic pressure		*Maintain manual suprapubic pressure

Rossdonaldson1: /* Background */

2021-11-25T12:20:15Z

Background

← Older revision		Revision as of 12:20, 25 November 2021
Line 1:		Line 1:
	==Background==		==Background==
			[[File:Bumm 123 lg - Copy.jpg\|thumb\|Estimated gestational age based on physical exam.]]
	*4 million deliveries per year in the US		*4 million deliveries per year in the US
	*Highest pregnancy rates seen in 25-29 year old females<ref>Cunningham, F., Leveno, K., Bloom, S., Spong, C., Dashe, J. Williams Obstetrics, 24th Ed. McGraw-Hill Education, 2014. Chapter 47.</ref>		*Highest pregnancy rates seen in 25-29 year old females<ref>Cunningham, F., Leveno, K., Bloom, S., Spong, C., Dashe, J. Williams Obstetrics, 24th Ed. McGraw-Hill Education, 2014. Chapter 47.</ref>

MCSquared16: /* 6 Cardinal Movements of Fetal DescentTintinalli, Judith E., J. Stephan Stapczynski, O. John Ma, David M. Cline, Rita K. Cydulka, Garth D. Meckler, The American College of Emergency Physicians. Tintinalli's Emergency Medicine: A Comprehensive Study Guid

2021-10-14T05:38:28Z

/* 6 Cardinal Movements of Fetal DescentTintinalli, Judith E., J. Stephan Stapczynski, O. John Ma, David M. Cline, Rita K. Cydulka, Garth D. Meckler, The American College of Emergency Physicians. Tintinalli's Emergency Medicine: A Comprehensive Study Guid

← Older revision		Revision as of 05:38, 14 October 2021
Line 45:		Line 45:
	===6 Cardinal Movements of Fetal Descent<ref>Tintinalli, Judith E., J. Stephan Stapczynski, O. John Ma, David M. Cline, Rita K. Cydulka, Garth D. Meckler, The American College of Emergency Physicians. Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 7th Ed. The McGraw-Hill Companies, Inc. 2011. Chapters 103-105.</ref>===		===6 Cardinal Movements of Fetal Descent<ref>Tintinalli, Judith E., J. Stephan Stapczynski, O. John Ma, David M. Cline, Rita K. Cydulka, Garth D. Meckler, The American College of Emergency Physicians. Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 7th Ed. The McGraw-Hill Companies, Inc. 2011. Chapters 103-105.</ref>===
	#Engagement		#Engagement
			#Descent
	#Flexion		#Flexion
	~~#Descent~~
	#Internal rotation		#Internal rotation
	#Extension		#Extension

Elcatracho: /* Stages of Labor */

2021-03-17T22:37:37Z

Stages of Labor

← Older revision		Revision as of 22:37, 17 March 2021
Line 13:		Line 13:
	*Latent		*Latent
	**Passage of cervical mucous plug		**Passage of cervical mucous plug
	**Slow dilation to 3 cm		**Slow dilation to 6 cm
	*Active		*Active
	**Rapid cervical dilation from 3 cm to 10 cm		**Rapid cervical dilation from 6 cm to 10 cm
	*~8 hours in primiparous and ~5 hours in multiparous		*~8 hours in primiparous and ~5 hours in multiparous
	\|		\|

Elcatracho: /* After delivery of infant */

2021-02-11T01:15:13Z

After delivery of infant

← Older revision		Revision as of 01:15, 11 February 2021
Line 122:		Line 122:
	*Stimulate and dry the infant		*Stimulate and dry the infant
	*Clamp then cut the umbilical cord 3cm distal to insertion at umbilicus with sterile scissors		*Clamp then cut the umbilical cord 3cm distal to insertion at umbilicus with sterile scissors
	**ACOG recommends delaying cord clamping 30-60 seconds after delivery<ref>Committee on Obstetric Practice. ACOG Committee Opinion No. 684: Delayed umbilical cord clamping after birth. Obstet Gynecol. 2017;129(1):e5–10.</ref>		**ACOG recommends delaying cord clamping until 30-60 seconds after delivery<ref>Committee on Obstetric Practice. ACOG Committee Opinion No. 684: Delayed umbilical cord clamping after birth. Obstet Gynecol. 2017;129(1):e5–10.</ref>
	*If uncomplicated delivery with clear airway and good respiratory support, mother may hold child immediately (skin to skin)		*If uncomplicated delivery with clear airway and good respiratory support, mother may hold child immediately (skin to skin)
	*If mother or infant is unstable, pass infant to receiving team		*If mother or infant is unstable, pass infant to receiving team

Elcatracho: /* After delivery of infant */

2021-02-11T01:14:46Z

After delivery of infant

← Older revision		Revision as of 01:14, 11 February 2021
Line 121:		Line 121:
	*Position in a manner that facilitates the flow of blood from the placenta to the infant		*Position in a manner that facilitates the flow of blood from the placenta to the infant
	*Stimulate and dry the infant		*Stimulate and dry the infant
	*Clamp then cut the umbilical cord 3cm distal to insertion at umbilicus with sterile scissors~~, wait 1~~-~~3 minutes following~~ delivery		*Clamp then cut the umbilical cord 3cm distal to insertion at umbilicus with sterile scissors
			**ACOG recommends delaying cord clamping 30-60 seconds after delivery<ref>Committee on Obstetric Practice. ACOG Committee Opinion No. 684: Delayed umbilical cord clamping after birth. Obstet Gynecol. 2017;129(1):e5–10.</ref>
	*If uncomplicated delivery with clear airway and good respiratory support, mother may hold child immediately (skin to skin)		*If uncomplicated delivery with clear airway and good respiratory support, mother may hold child immediately (skin to skin)
	*If mother or infant is unstable, pass infant to receiving team		*If mother or infant is unstable, pass infant to receiving team

Rossdonaldson1: /* See Also */

2020-12-12T13:50:45Z

ClaireLewis: /* Emergent Delivery Instructions (3nd Stage) */

2019-10-04T17:51:11Z

Emergent Delivery Instructions (3nd Stage)

← Older revision		Revision as of 17:51, 4 October 2019
Line 140:		Line 140:
	**Inspect for missing placental segments and normal cord insertion and vessels		**Inspect for missing placental segments and normal cord insertion and vessels
	***Normal cord should have 3 vessels		***Normal cord should have 3 vessels
	***If placenta is not intact, there may be retained products of conception in the uterus requiring manual or surgical removal		***If placenta is not intact, there may be [[retained products of conception]] in the uterus requiring manual or surgical removal
	*Start [[oxytocin]] 20U-40U in 1L NS at 200-500 mL/hr or give [[oxytocin]] 10U IM in a patient without IV access		*Start [[oxytocin]] 20U-40U in 1L NS at 200-500 mL/hr or give [[oxytocin]] 10U IM in a patient without IV access
	**Administering oxytocin prevents 40% of PPH		**Administering oxytocin prevents 40% of PPH

Rossdonaldson1: /* Evaluation */

2019-05-18T01:47:10Z

Evaluation

← Older revision		Revision as of 01:47, 18 May 2019
Line 63:		Line 63:

	==Evaluation==		==Evaluation==
	[[File:Bookmiller 1954 176.png\|thumb\|Stage 2]]		[[File:Bookmiller 1954 176.png\|thumb\|Stage 2: Birth]]
	===Cervical Dilatation===		===Cervical Dilatation===
	*Diameter of the internal cervical os increases as labor progresses		*Diameter of the internal cervical os increases as labor progresses

← Older revision		Revision as of 13:50, 12 December 2020
Line 160:		Line 160:
	*[[Infant_scalp_hematoma\|Newborn Scalp Hematoma]]		*[[Infant_scalp_hematoma\|Newborn Scalp Hematoma]]
	*[[Apgar score]]		*[[Apgar score]]
			*[[Newborn resuscitation]]

	==References==		==References==