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Precipitate Labor


Presentation

  • (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]
  • Pathophysiology boxes present an illustrated overview of disorders. Updated drug guides summarize key medication information. NEW![books.google.com]
  • 1912 Chapter 181 Breech presentation 1918 Chapter 182 Shoulder dystocia 1928 Chapter 183 The Third stage of labor and the puerperium 1936 Chapter 184 Postpartum hemorrhage 1945 Chapter 185 Resuscitation and immediate care of the newborn 1955 CHapter[books.google.com]
  • Complications are rare but include shoulder dystocia, prolapsed umbilical cord, and breech presentation.[link.springer.com]
  • Rectovaginal fistula, following infection and episiotomy dehiscence,present low in the rectovaginal septum but may extend higher especially if birth trauma leads to extension of tear.[omicsonline.org]
Sighing
  • I sighed and thought to myself, "I guess tomorrow we'll wake up and start another day as usual." Although I was completely comfortable and not having contractions, I couldn't sleep.[tierneycyanne.com]
Abdominal Pain
  • She delivered at home 20 minutes after a sudden attack of severe sharp lower abdominal pain and vaginal bleeding.[popline.org]
  • The diagnosis of placental abruption is even more likely if there is associated lower abdominal pain, backache or vaginal bleeding.[clinicalgate.com]
Back Pain
  • I had no early labor, I went in at the first sign of pain (Which was back pain and felt more like extreme constipation) by the time we arrived at the hospital (which was 5 minutes away) the "contractions" were overlapping so therefore it was constant[circleofmoms.com]
  • Also, there may be residual back pain between contractions. The pushing stage may be longer due to the extra effort needed to rotate the baby to an anterior position (face towards mother's back).[babies.sutterhealth.org]
  • Term Definition Shortened length preterm labor Term Definition Uterine contractions ( Lower abdominal cramps (maybe w/ diarrhea) Dull, intermittent low back pain Menstrual-like cramps Pelvic pressure or heaviness Urinary frequency ROM Spotting Term Lifestyle[flashcardmachine.com]
  • pain, pelvic pressure, ROM, menstrual like crams, uterine contractions, GI problems (n,v,d)uterine contractions, discomfort.[quizlet.com]
Regular Uterine Contractions
  • It may be divided into three stages: The first stage ( dilatation ) begins with the onset of regular uterine contractions and ends when the cervical os is completely dilated and flush with the vagina, thus completing the birth canal.[medical-dictionary.thefreedictionary.com]
  • uterine contractions with cervical effacement and dilation between 20 and 36 6/7 weeks Preterm Labor Tx/management -Risk prediction -Tocolytic drugs: magnesium sulfate, terbutaline, indomethacin, nifedipine -Corticosteroids for the fetus to assist in[quizlet.com]
  • uterine contractions Term Definition Birth that occurs before the completion of 37 weeks GA Very preterm birth: Later preterm/ near term: 33-37 weeks Term Risk Factors for Preterm Labor Definition Mom underweight or obese Dehydration Uterine or cervical[flashcardmachine.com]

Treatment

  • Independent risk factors for precipitate labor, using a backward, stepwise multivariate analysis were: placental abruption (odds ratio (OR) 30.9, 95% confidence interval (CI) 15.9-60.4, P 0.001); fertility treatments (OR 3.9, 95% CI 1.7-9.0, P 0.002);[ncbi.nlm.nih.gov]
  • So they started her on another course of chloroquine treatment. They discharged her on day 25.[popline.org]
  • Rodríguez-Wong U, Cruz-Reyes JM, Santamaría-Aguirre JR, García-Alvarez J (2009) Postobstetricrectovaginal fistula: surgical treatment using endorectal advancement flap. Cir Cir 77: 201-205.[omicsonline.org]
  • Chapter 110 Treatment of fetal arrhythmias 1166 animal studies 1177 diagnostic and clinical aspects 1182 Chapter 113 Ultrasonographic soft markers for chromosomal abnormalities 1189 Chapter 114 Fetal anatomy in the first trimester of pregnancy 1199 Intrauterine[books.google.com]
  • Treatment may include diagnostic ultrasound and fetal maturity studies, the use of forceps for the head, or cesarean delivery. Nursing care is the same as for any woman in labor.[what-when-how.com]

Prognosis

  • -Fetal prognosis is directly related to the amount of blood loss. -10-30 min for fetal morbidity -Complete uterine wall separation w/direct exposure of internal uterine cavity to peritoneal cavity -Uterus rips or tears -S/S: hypovolemic shock, bleeding[quizlet.com]
  • Conclusion : This case-study also highlights the importance of quality of care as one of the determinants of phase III delay affecting the prognosis and outcomes while caring for near misses in obstetrics.[casereports.in]

Etiology

  • 114 Fetal anatomy in the first trimester of pregnancy 1199 Intrauterine growth 1213 Chapter 115 Fetal growth characteristics 1215 Chapter 116 Regulating factors 1218 Chapter 117 Dynamics of fetal growth 1229 concepts and epidemiology 1238 Chapter 119 Etiology[books.google.com]
  • The most common etiology of primary PPH is uterine atony, followed by genital tract trauma.[casereports.in]
  • Hypotonic Inertia:• Definition: Weak, infrequent and ineffective uterine contractions• Etiology: Not known but the following factors may be associated:• 1. General factors:• Primigravida especially elderly.• Anemia, chronic illness.[slideshare.net]
  • -Corticoesteroids: To improve fetal lung maturity (if baby is 24 to 34 weeks of gestation, they take 24 hr to be effective) -Antibiotic Prophylaxis for women with GBS -Pregnancy past end of 42 weeks -Unknown etiology -Maternal risks: Hematomas, laceration[quizlet.com]

Epidemiology

  • 1247 Chapter 120 Classification of intrauterine growth restriction 1270 Chapter 121 Natural history of fetal compromise in itnrauterine growth retardation 1279 antenatal and intrapartum strategies 1296 characteristics and management 1313 concept and epidemiology[books.google.com]
Sex distribution
Age distribution

Pathophysiology

  • Pathophysiology boxes present an illustrated overview of disorders. Updated drug guides summarize key medication information. NEW![books.google.com]
  • Thank you Becky it is a wonderful site; it gives clearly what the code should and how to report at their maximum Well the terminology part of it and the pathophysiological occurrence of it is this way: "Precipitate Labor" Any culminating labor which has[aapc.com]
  • […] findings: As labor is progressing quickly, assessment may need to be done rapidly Client may have history of previous precipitous labor and delivery Desire to push Observe status of membranes, perineal area for bulging and for signs of bleeding Slide 3: Pathophysiology[authorstream.com]
  • (Please refer to the Pathophysiology for information regarding adequate contractions.) Abnormal labor constitutes any findings that fall outside the accepted normal labor curve.[emedicine.medscape.com]

Prevention

  • […] of very early premature birth 1401 Chapter 132 Operative early total cervix occlusion for prevention of late abortion and early prematurity 1412 Chapter 133 Assessment of risk for preterm brith in asymptomatic patients and those with preterm labor 1417[books.google.com]
  • If this pregnancy sticks, I'm going to see what we can do to prevent such a scary and dramatic delivery. I was unable to get antibiotics for GBS and I ended up hemorrhaging so I'm hoping we can devise a better plan this time around.[whattoexpect.com]
  • Instruct the pt. to assume Sim’s lateral position; this would help to slow her labor down and help prevent lacerations. Encourage pt. to pant at this time to prevent bearing down. Anxiety r/t process and stress of labor and birth.[authorstream.com]
  • Shoulder dystocia and injuries: prevention and management. Curr Opin Obstet Gynecol. 2006;18:123–8. CrossRef PubMed Google Scholar 18. American College of Obstetrics and Gynecologists. Shoulder dystocia. ACOG Practice bulletin no. 40.[link.springer.com]

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