Labor and birth
What are the 5 P's that affect labor?
Passenger
Passageway
Powers
Position and Psychologic Responses
What are some social factors that influence pain perception?
The quality of the support person, provider communication and birthing environment.
Name 3 ways emotional support can affect the patient's overall birth experience?
Praise and reassurance, Remain calm and confident, and be consistently present.
What is universal attitude of the fetus?
Flexion
What fetal position is frequently associated with back pain in labor?
OP either right or left
What is continuous presence associated with in labor?
Shorter labors, fewer interventions, and higher patient satisfaction scores.
Why is fetal position important?
Determines the ease of delivery
What are some nonpharmacologic pain management techniques?
Touch and movement
Heat/cold, TENS unit, acupressure Mind-Body and sensory.
Why is it so important to confirm last oral intake in a laboring patient?
Aspiration precautions. Maintain HOB elevated, and suction available.
What does lightening refer to?
Fetal decent into pelvis.
What does hydrotherapy in labor provide?
Reduces musculoskeletal tension, stimulates endorphin release, promotes relaxation
What are nursing considerations for a patient receiving neuraxial pain management?
Vasodilation causing hypotension
Urinary retention
What determines True Labor?
Cervical dilation and effacement
How are systemic opiods administered? Why?
At the peak of the contraction so minimum drug reaches the fetus through the placenta.