Military Presentation (Cephalic Presentation):Head neither flexed nor extended - Diameter presented to pelvis - Occipitofrontal 11.75 cm - Presenting part - Top of head Classification of Cephalic Presentations: Brow Presentation (Cephalic Presentation [studystack.com]

(assisted) (buttocks) (complete) (frank) (spontaneous) 652.2 brow presentation 652.4 cephalopelvic disproportion (normally formed fetus) 653.4 cerebral hemorrhage 674.0 cervical dystocia 661.2 chin presentation 652.4 cicatrix coagulation defect 649.3 [icd9data.com]

- - - - - - - - - - - - - - - - Presentation Transcript A. [slideserve.com]

[…] or chin presentation.Such presentations increase the risk of CPD, owing to a larger diameter of the fetal skull entering the pelvis (11 cm in brow or face presentation, 13 cm in chin presentation, versus 9.5 cm for vertex presentation), often necessitating [nurseslabs.com]

Figure 37.12 The approximate points of the fetal heart sounds in vertex and breech presentations. [basicmedicalkey.com]

• Severe Pain

  Other clinical manifestations are: Sudden, severe pain during a strong labor contraction Tearing sensation Cessation of uterine contraction Hemorrhage Signs of shock Change in Abdominal contour with two distinct swellings Retracted uterus Extrauterine [maternalcenter.blogspot.com]

  Si/sx: [“symptoms”] -Hypertonic contractions -presenting part driven/jammed -mother experiences severe pain and excited or restless emotions -maternal pulse, temperature rise -palpable, taut round ligaments; may also be visible -Baby entirely or almost [womantowomancbe.wordpress.com]

  Si/sx: ["symptoms"] -Hypertonic contractions -presenting part driven/jamme d -mother experiences severe pain and excited or restless emotions -maternal pulse, temperature rise -palpable, taut round ligaments; may also be visible -Baby entirely or almost [scribd.com]

  With the epidural not working, she was increasingly aware of a severe “totally different pain to the contractions” as well as the contraction pain. [obstetricexcellence.com.au]

  Maternal adaptation to labor: Cardio-vascular Pulse goes up and down Each contractions contributes 300-500 ml of additional blood to the circulation. (31% increase in CO during contraction) Increase with severe pain and anxiety is 50-61%. [thestudentnurse.com]

• Asymptomatic

  One study stated that the prevalence of pelvic organ prolapse, a clinical classification for all of the pelvic structures prolapse into the vagina, was 50% for women who have give birth, though most women are asymptomatic. [5] Another article cited that [physio-pedia.com]

  DIVERTICULUM of the RENAL CALYX: Uncommon and asymptomatic. Cystic dilatation of the single calyx of the kidney. CONGENITAL MEGAURETER: Congenital hydronephrosis. Catch-all term for massive dilatation of the ureter. [kumc.edu]

• Abdominal Pain

  Abdominal tenderness Uterine contractions may be absent, or may continue but be diminished in intensity and cord bleeding vaginally, abdominally, or both Fetus easily palpated in the abdominal with shoulder pain Tenses, acute abdominal with shoulder pain [authorstream.com]

  Also, she wanted my management of abdominal pain she has had since then. I was very saddened by what she said, and especially knowing that the outcome could have been very different with different management. [obstetricexcellence.com.au]

  pain refractory to medical management. [mdedge.com]

  Complete rupture Pain: sudden, sharp, abdominal; followed by cessation of contractions; tender abdomen. Signs of shock; vaginal bleeding. Fetal heart tones—absent. Presenting part—not palpable on vaginal examination. c. [brilliantnurse.com]

• Kayser-Fleischer Ring

  Kayser-Fleischer ring a golden brown or green discoloration in the zone of Descemet's membrane in the limbic region of the cornea seen in wilson's disease and other liver disorders. pathologic retraction ring a complication of prolonged labor marked by [medical-dictionary.thefreedictionary.com]

• Dysmenorrhea

  Morris concluded that scar tissue in these patients contributed to significant pathological changes and anatomical abnormalities that, in turn, gave rise to a variety of clinical symptoms including menorrhagia, dysmenorrhea, dyspareunia, and lower abdominal [mdedge.com]

  SYMPTOMS: Dysmenorrhea, dysfunctional uterine bleeding (DUB), dyspareunia and infertility. Infertility results from adhesions in the tube and oviduct. [kumc.edu]

• Hyperactivity

  Uterine Action Classification Over-efficient uterine action Precipitate labour: in absence of obstruction Excessive contraction and retraction: in presence of obstruction Inefficient uterine action Hypotonic inertia Hypertonic inertia Colicky uterus Hyperactive [gfmer.ch]

  Classification of abnormal uterine activity  Inefficient uterine activity  Hypoactive states/uterine inertia  Hyperactive, incoordinate states  Hyperactive lower uterine segment  Colicky uterus  Constriction ring  Cervical dystocia  Overefficient [slideshare.net]

  CLASSIFICATION A.Over-efficient uterine action • Precipitate labour: in absence of obstruction • Excessive contraction and retraction: in presence of obstruction B.Inefficient uterine action • Hypotonic inertia • Hypertonic inertia * Colicky uterus * Hyperactive [theideas2015.blogspot.com]

  Classification • Over-efficient uterine action o Precipitate labour: in absence of obstruction o Excessive contraction and retraction: in presence of obstruction • Inefficient uterine action o Hypotonic inertia o Hypertonic inertia  Colicky uterus  Hyperactive [medical4free.com]

  2.00 ADD COURSE Alzheimer's Disease: Late-Stage Care 2.00 ADD COURSE An Overview of the Pathology of Labor 4.00 ADD COURSE Anaphylactic Hypersensitivity Reactions 2.00 ADD COURSE Assistive Technology for Healthcare 2.00 ADD COURSE Attention Deficit Hyperactivity [ceuprofessoronline.com]

• Seizure

  COURSE Salivary Gland Infections: An Overview of Sialadenitis 1.00 ADD COURSE Saving Lives One Case Note At A Time: How To Write Complete and Effective Case Notes 1.50 ADD COURSE Schizophrenia 2.00 ADD COURSE Seasonal Affective Disorder 1.00 ADD COURSE Seizures [ceuprofessoronline.com]

2.00 ADD COURSE Common Foodborne Diseases: Causes, Diagnosis & Treatment 2.00 ADD COURSE Common Oral Lesions 2.00 ADD COURSE Common Sexually Transmitted Diseases: Diagnosis and Treatment 2.00 ADD COURSE Communication and Teamwork for Patient Safety 1.00 [ceuprofessoronline.com]

Malpresentatioh + malposition Improper use of Syntocinon 14 Diagnosis Feeling it with hand Treatment. 1. Exclude disproportion. 2 Diagnosis Feeling it with hand Treatment 1. Exclude disproportion 2. [slideplayer.com]

Surgical treatment is not appropriate when the woman has recently had a baby. [physio-pedia.com]

Five distinctive sections cover Disorders, Diagnostic Tests, Treatments, Procedures, and Clinical Tools such as fetal growth and assessment parameters, estimated date of birth calculations, fundal height measurements, cervical dilation guides, drug protocols [books.google.com]

POOR PROGNOSIS: Two abnormalities associated with poorer prognosis. Aneuploidy of chromosomes 7 and 8 is associated with poor prognosis. Chromosome 16 has Cadherin and Catenin proteins, which are associated with poor prognosis when present. [kumc.edu]

Prognosis ?AP diameter of less than 9cm.? -> successful vaginal delivery of a term-sized fetus is nearly hopeless. ?slightly below 10cm -> the prognosis for vaginal delivery. ¨c presentation : all presentations but the occiput are unfavorable. [kmle.co.kr]

Ultrasound and MRI uterine constriction at the junction of the thinned lower uterine segment with a thickened, retracted upper uterine segment Treatment and prognosis May necessitate Cesarean section to avoid potential uterine rupture. [radiopaedia.org]

The prognosis of these tumors is poor and characterized by an aggressive clinical course. [nature.com]

Prognosis a. Maternal—guarded. b. Fetal—grave. 5. Analysis/nursing diagnosis: a. Pain related to rupture of uterine muscle. b. Fluid volume deficit related to massive blood loss secondary to uterine rupture. c. [brilliantnurse.com]

Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]

HYPOTONIC UTERINE INERTIA Etiology - unknown a) General factor. 1 II. HYPOTONIC UTERINE INERTIA Etiology - unknown a) General factor 1. Primigravida -- old primi 2. Anaemia and Antepartum Hge 3. [slideplayer.com]

Etiology —causes may be from maternal, fetal, or placental factors. C. Coexisting disorders: 1. Infections that may cause PROM. 2. PROM of unknown etiology. 3. PIH (preeclampsia/eclampsia). 4. Uterine overdistention. a. Polyhydramnios. b. [brilliantnurse.com]

ETIOLOGY • Advance age of mother. • Prolonged pregnancy. • Over distension of uterus due to twins or hydromnios. • Psychological factors. • Contracted pelvis. • Malpresentation. • Injudicious administration of sedatives analgesics and oxytotics. • Premature [theideas2015.blogspot.com]

Etiology It is more common in multiparas when there are; • strong uterine contractions, • small sized baby, • roomy pelvis, • minimal soft tissue resistance. [medical4free.com]

EPIDEMIOLOGY: 75% of men have it by age 80. Some people say even higher. Especially common in African American men. [kumc.edu]

Recurring icons highlight life-threatening disorders, interdisciplinary care, and illustrations of pathophysiology. [books.google.com]

Pathophysiology —physiological events of labor (i.e., contractions, spontaneous rupture of membranes, cervical effacement/dilation) occur before completion of normal, term gestation. B. [brilliantnurse.com]

Uterine/abdominal trauma Uterine congenital anomaly Obstructed labor; maneuvers within the uterus Interdelivery interval (time between deliveries) Slide 4: PATHOPHYSIOLOGY Women who have had previous surgery on the uterus (upper muscular portion) Having [authorstream.com]

Abuse and Neglect in Healthcare 2.00 ADD COURSE Preventing Allergic Reactions to Natural Rubber Latex in the Workplace 2.00 ADD COURSE Preventing Needlestick Injuries in Health Care Settings 2.00 ADD COURSE Prevention of Hepatitis A Through Active or [ceuprofessoronline.com]

This finding is possible under anesthesia -- the exquisite tenderness prevents it otherwise 4. [scribd.com]

So, this may help in general to prevent uterine fatigue. Chiropractic adjustments and optimal fetal positioning may help to prevent fetal malposition (along with the mother being upright and mobile during labor, if she desires). [womantowomancbe.wordpress.com]

Women in prolonged labor may need additional fluid and caloric intake to prevent secondary uterine inertia (a cessation of labor contractions) and generalized dehydration and exhaustion. [ashrafkamal77.forumarabia.com]

The constriction prevents the fetus from orienting toward the cervical os and obstructs normal labor. [radiopaedia.org]