Unit 3 Admission Procedure of Women in Labour
Unit 3 Admission Procedure of Women in Labour
Unit 3 Admission Procedure of Women in Labour
Equipments
BP instrument/vital sign tray
Weighing machine
Vaginal examination tray
Measuring tape
Fetuscope
Enema set (if needed)
Sterile cotton swab (wet and dry).
Admission form / investigation forms
Light source
Procedure
1. Welcome in a family manner.
2. Observe her gait, posture and general
condition.
3. If the woman is in the end of 1st stage of
labour or in second stage, complete the
admission procedure quickly and prepare
for the delivery.
4. The procedure of admission is same as of
general patient.
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5.
6.
7.
8.
9.
b.
-
Obstetric history
Number of pregnancies/abortion/still
birth
Birth weight, sex and condition of the
baby during delivery
Type of delivery/course of labour
Length of pregnancies, labour and
complication of mother and baby.
History of PPH, neonatal asphyxia,
Neonatal death and history of twin
pregnancy etc.
Uterine contraction
Rupture of membranes
Presentation of show
Sleep, rest and food taken
5. Other Psychosocial condition
Physical preparation for child birth
Previous child birth experiences
Support from significant others
Emotional integrity
II. Assssment of Maternal and Fetal
Condition
Assessment of uterine contraction in Labor:
Tonus:
Intensity:
Duration:
Frequency:
Retraction
Examination of Woman in Labour
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Physical
examination
should
include
documentation of the patient's vital signs, the
fetus' presentation, and assessment of the fetal
well-being. The frequency, duration, and
intensity of uterine contractions should be
assessed, particularly the abdominal and
pelvic examinations in patients who present in
possible labor.
Prior to touching the woman a sound
explanation of the proposed examination and
their significance should be given. Verbal
consent should be obtained and recorded in the
notes.
a. General Examination of a woman in
labour
- The woman is asked to empty her
bladder and a specimen of urine is tested
for protein, glucose and ketones.
- Observe general appearance, stature and
any abnormalities.
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b. Abdominal Examination
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Fetal movement
Any incisional scar mark on the
abdomen
Cleanliness or skin condition of
abdomen for evidence of Scabies or ring
worm.
Palpation
An abdominal palpation is done to identify the
fetal position, presentation, gestational age etc.
The midwifes age hands should be clean and
warm. Arms and hands should be relaxed and
the pads, not the tips of the fingers used with
delicate precision.
The abdomen is palpated by using lateral grip,
fundal grip, pelvic grip and pawlik's grip.
(Hands are moved smoothly over the abdomen
in a stroking motion in order to avoid causing
contractions).
Fundal Palpation
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Lateral Palpation
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Antepartum haemorhage
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Amniotic fluid leaking
Placenta previa
Articles
Sterile gloves 1 pair
Sterile water
Sterile cotton balls to give perineal care
Bowl
Kidney tray
Perineal towel
Mackintosh
Light
Screen
Soap and running water for hand washing
Sim's vaginal spaculum if needed
Artery clamp
General instruction
The bladder should be empty
The fingers should not be withdrawn until
the required information has been obtained.
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5.
6.
7.
8.
9.
Procedure
Maintain privacy
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a.
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30