Stage 1 Description This stage is commonly known as the “dilation” stage. It starts with mild contractions marking the onset of labor, and is completed when the cervix reaches full dilation. Within the first stage of labor are three sub stages, the latent phase, where regular contractions take place, they are typically about 5 minutes apart and last 30-45 seconds. The woman is dilated 0 to 3 cm during this phase, and this phase can last anywhere from 10 to 14 hours. The active phase involves more active and intense contractions, they come more frequently as much as every 3 to 5 minutes and can last up to a full minute. The woman may dilate 1 cm every hour. As contractions occur, it encourages the cervix to continue to dilate. Lastly, the …show more content…
This will include palpating the cervix and attempting to locate what direction and what area the baby’s head is in. The nurse may provide labor support which includes physiological and psychological needs, promoting comfort, providing instructions, and acting as an advocate for the patients. The nurse may be able to provide spiritual support, help with position changes, helping with hygiene or massage, temperature control, and environmental comfort. An important role of the nurse is to provide help with elimination, instruction, and teach relaxation techniques. The nurse will also asses the birthing partner and the fetus. The nurse will regularly do vaginal examinations to assess fetal position (Ward, S.L., Hisley, S. M., 2016, p. 433). Patient Teaching The nurse can teach the patient relaxation techniques. These techniques may include visualization, focal points, imagery, hydrotherapy, and breathing (Ward, S.L., Hisley, S. M., 2016, p. 436). Often a mother will utilize a type of breathing called Lamaze breathing. Lamaze breathing involves taking deep breaths in a pattern that coincides with contractions (Patterned Breathing During Labor (2015)). The nurse can also help the patient know what to expect. She may expect to soon begin pushing and feeling increasing pressure in her vaginal area. She may feel contracting pains and intensity. She may also feel anxiety and uncertainty
Labor and delivery nurses not only get to assist in delivery, but they get to help care for babies after delivery. After birth, the baby’s umbilical cord must be cut. Typically, the father of the baby will cut the cord, but if the cord is wrapped around the baby’s neck, it can restrict blood flow and must be cut immediately (Winder). The doctor must take charge and free the baby from choking by cutting the cord as quickly as possible. The nurse must remain calm and be ready to quickly check the baby to make sure everything is looking healthy. They must check its heart beat, clean out its nose and mouth, make sure it is breathing normally, make sure it has all ten fingers and toes, and check the weight and length of the baby (What Can I Do Now? Nursing
The National Institute for Health and Clinical Excellence (NICE, 2007) Intrapartum guidelines state that during the first stage of labour women should be encouraged to adopt the position they feel most comfortable in. This is what the student was trying to encourage even though her mentor did not.There are various positions the woman can adopt in labour which are generally grouped into upright and recumbent. The positions classed as upright are; standing, walking, kneeling, squatting, on all fours and sitting, and the recumbent position could include; supine, lithotomy, semi-recumbent or side lying (Johnson and Taylor, 2011). The upright position appeared to be more beneficial in Sarah’s case and the author wants to determine if this is always the case. It is evident that sometimes there will be constraints such as continuous fetal monitoring but it is important that the midwife does
Providing an effective care and support to the patient and for their babies during labour
A labor and delivery nurse is a nurse who cares for woman and newborns during antepartum, intraparetum, postpartum, and neonatal stages of birth. These nurses take vital signs to make sure the mother and her newborn are healthy. Labor and delivery nurses aren’t there for the medicine they are also there to provide support for the mother and the family. I would like to become a labor and delivery nurse because I love helping and taking care of others, especially when it comes to babies, I have always been interested in how the human reproduction systems works, and I love seeing others happy.
This community resource utilizes nurses in several different methods in order to help women with postpartum. In this program, nurses are members of the profession because they assess and evaluate the patient needs and communicate with the medical team the care needed to be implemented in order to provide the patient with the proper resources, to promote a successful and positive postpartum experience. As well as working with members of the health care profession to assist the patient for an optimal outcome for the mother and baby.
For any mother the birth of a newborn child can be a challenging experience. As nurses it is part of our job to ensure their experience is positive. We can help do this by providing the information they will need to affective care for their newborn. This information includes topics such as, breastfeeding, jaundice, when to call your doctor and even how to put your baby to sleep. When the parents have an understanding of these topics before discharge it can largely reduce their natural anxiety accompanied with the transition to parenthood. Health teaching for new parents is seen as such an important aspect of care on post-partum floors it is actually a necessary component that needs to be covered before the hospital can discharge the
America’s Border Control is a security system that protects America’s borders and makes sure that no terrorist or illegal immigrants enter America without a green card. The border control has been paid billions and maybe trillions of dollars to protect our borders.
The nurse would want to ensure adequate nutrition for the baby and preventing aspiration or infection
Pharmacological comfort measures can provide partial or complete pain relief. The epidural is the most efficient way of reducing labor pain. Opioids can be given continuously or in intermittent doses at the patient 's request or through the patient controlled pump. There is the potential for these drugs to have some effect on the fetus, such as breathing difficulties that may require assistance through the use of Narcan. Providing pain relief during the labor process is solely the patient’s choice, and as the nurse only support and encouragement should be given for however she chooses to handle the pain. (Jansen, Gibson, Bowles, & Leach, 2013)
Depending on where the baby is in your pelvis, high or low, you could get the urge to push early or you might have to wait a little while. This stage can take anywhere from a couple minutes to many hours. The pushing stage is said to take longer for woman who get epidurals. There are ways to cope with the pain while pushing. You can try vocalization to relax your body. This will also allow more oxygen to both the mother and the baby. A couple different sounds you can try are “oooh” and “aaaah”. You can also try focusing on how you breathe. There are many different ways to breathe from hee-ing or haa-ing to panting or deep inhaling. All of these methods have been shown to help woman ease the pain of not only pushing but also contractions. Not long after you start pushing the baby's scalp should start to become visible. This could be the excitement one needs to push through the pain. Now every time you have a contraction a little more of the baby's head will become visible. As more of the head becomes visible it is very common to feel a burning sensation. This sensation is sometimes referred to as “the ring of fire” and is due to the tissues being stretched. After the baby's head is out your caregiver will suction out the mouth and nose. Next it will be time for the shoulders and then the body. Now that your baby is finally brought into the world you are able to hold it. But, you're not quite done yet.
The duties of a neonatal nurse comprise of caring for newborns with a variety of problems such as premature birth, surgical complications, heart malformations,
Dun & Bradstreet (D&B) has been the leading provider of global business information, tools and insight to provide customers to make critical business decisions and reduce credit risk. In 2000, Dun & Bradstreet separated from the Moody’s Corporation to launch a new business strategy called the “Blueprint for Growth” and announced their aspiration to become a “growth company with an important presence on the Web” (DNB, 2013). The purpose of this essay is to assess how D&B created a digital culture, embraced the opportunities of E-Commerce, improved their data management systems, created a business continuity plan and took extra measures to secure their customers data.
The fetal stage is the stage in which is marked by rapid growth and preparation
There are three techniques to help during the process of natural childbirth: the Alexander technique, the Bradley method, and the Lamaze method. The Alexander technique is helpful for a pregnant woman to solve the problems like muscular tension, restoring her body’s original poise, for attaining proper posture and increasing her breathing capacity. It would be easier for her to open the cervix during dilation and also it helps in preparing for effective pushing as the baby comes.
Birth of a child can be such a happy time, especially when the little one is very healthy. We all have seen the movies when a new child is born, some of us are lucky to see it first hand. Some of us do get goose bumps, me being one of them. It is just so exciting to see that little life come out of what has been in that big belly for nine months. We sometimes refer to the birth of a child as labor. If only it was as easy as the name sounds. However, it is not. There are three main stages in birth. The first stage is the longest stage that can last 12 to 14 hours with the first birth, and later births are shorter. Dilation and effacement of the cervix take place here. That is when the uterine contractions gradually become more frequent and