Fetopelvic relationship final presentation.pptx
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This document discusses fetal positioning within the uterus including lie, presentation, attitude, and position. It notes that the longitudinal lie is most common with the fetus' long axis aligned with the long axis of the uterus. The cephalic presentation, where the head is positioned to descend through the birth canal, is also most frequent. It describes the typical fetal attitude as one with the head flexed, arms and legs flexed in front, and back curved forward to navigate the uterus and pelvis. Moulding or molding of the fetal skull to fit through the birth canal is also mentioned.
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Fetal heart rate abnormalities
APGAR scores for those with low scores
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Decreasing the rates of cesarean birth related with FHR problem
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The amnio infusion procedure involves the use of an intrauterine pressure catheter (IUPC), or a single or double lumen type of IUPC.
The IUPC has been designed to attain an accurate monitoring of uterine contractions among women in the intrapartum period.
It has a special port from which the saline fluid or lactated ringer’s solution is being injected, passing through the tubing and going its way into the uterus.
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Lactated ringer’s solution without dextrose is infused into the amniotic cavity; normal saline can be an acceptable fluid alternative
Assisting Physician with Amnioinfusion
Explain the procedure to the patient.
Assist in dorsal recumbent position. Assist with draping and exposing vaginal area.
Connect IUPC tubing to IV fluid, flush
Connect the catheter to the monitor cable
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Overview
While it takes nine months to grow a full-term baby, labor and delivery occurs in a matter of days or even hours. However, it’s the process of labor and delivery that tends to occupy the minds of expectant parents the most.
Read on if you have questions and concerns around the signs and length of labor, and how to manage pain.
Signs of labor
Labor has started or is coming soon if you experience symptoms such as:
increased pressure in the uterus
a change of energy levels
a bloody mucus discharge
Real labor has most likely arrived when contractions become regular and are painful.
Braxton Hicks contractions
Many women experience irregular contractions sometime after 20 weeks of pregnancy. Known as Braxton Hicks contractions, they’re typically painless. At most, they’re uncomfortable and are irregular.
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This document discusses breech presentation during childbirth. It defines breech presentation as when the fetus is positioned longitudinally with the buttocks or feet facing the birth canal. It classifies breech presentations as complete breech, incomplete breech (frank breech or footling), or knee presentation. Common causes of breech presentation include prematurity, factors preventing fetal version, and fetal abnormalities. Breech presentation is diagnosed through clinical examination including abdominal and vaginal palpation as well as ultrasound. The mechanism of labor in breech presentation and management options like external cephalic version, vaginal delivery, and cesarean section are also described.
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- 3. LIE ▪ The relationship b/w the long axis of fetal ovoid to the long axis of uterine ovoid LONGITUDINAL LIE TRANSVERSE LIE OBLIQUE LIE
- 5. PRESENTATION ▪ That part of the fetus that lies over the pelvic inlet & occupies the lower poles of the uterus ▪ 3 presentation CEPHALIC PODALIC/BREECH SHOULDER
- 8. • • •
- 10. ATTITUDE • TYPICAL FETAL ATTITUDE UNIVERSAL FLEXION • WITH HEAD FLEXED OVER CHEST, • ARMS & LEGS FLEXED IN FRONT OF THE BODY • AND BACK CURVED FORWARD
- 11. ANTEROPOSTERIOR DIAMETERS OF THE FETAL SKULL
- 13. DENOMINATOR
- 14. FREQUENCY OF LIE AND PRESENTING PART
- 15. POSITION • THE RELATIONSHIP OF THE DENOMINATOR TO THE 4 QUADRANTS OF MATERNAL PELVIS
- 19. • LONGITUDINAL LIE COMMONER • CEPHALIC PRESENTATION COMMONER
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