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Precipitate Labor

The patient, Mrs. Dizon, is a 40-year-old married woman from Sorsogon who presented with precipitate labor and delivery at 39 weeks gestation. She complained of a sudden urge to push and crowning. Her vital signs were stable. She was diagnosed with precipitate labor and delivery based on the rapid progression from onset of contractions to delivery within 3 hours without warning. As a multiparous woman, she was at high risk for complications of labor. The midwife care plan included IV fluids, monitoring, medications, and emotional support and instructions during the delivery.

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Divina Gracia Vibal Cielo
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224 views

Precipitate Labor

The patient, Mrs. Dizon, is a 40-year-old married woman from Sorsogon who presented with precipitate labor and delivery at 39 weeks gestation. She complained of a sudden urge to push and crowning. Her vital signs were stable. She was diagnosed with precipitate labor and delivery based on the rapid progression from onset of contractions to delivery within 3 hours without warning. As a multiparous woman, she was at high risk for complications of labor. The midwife care plan included IV fluids, monitoring, medications, and emotional support and instructions during the delivery.

Uploaded by

Divina Gracia Vibal Cielo
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Each group will make a case analysis for this patient. and after case presentation Mrs.

Dizon 40 y/o, married, live at Putiao, Sorsogon G2P3 , AOG 39 weeks was admitted at
10:30am today patients complains of a sudden, intense urge to push, sudden increase
in bloody show, sudden bulging of the perineum and sudden crowning of the
presenting part. V/S - BP- 120/70mmhg, PR- 90bpm , RR, 20 CPM, BT- 37.5

Question: Kindly analyze the situation of your patient. what indication and obstetrical
health problem that arises to your patient. Relate the situation on complication of the
pregnancy. Make a Midwife care that is included in your presentation

PATIENT’S PROFILE
Name: Mrs. Dizon
Age: 40 years old
Status: Married
Address: Putiao, Sorsogon
G2P3
AOG: 39 weeks

ASSESSMENT
SUBJECTIVE
Chief complaints: sudden, intense urge to push, sudden increase in bloody
show, sudden bulging of the perineum and sudden crowning of the presenting part
OBJECTIVE
Vital signs:
BP- 100/90 mmhg
PR- 90 bpm
RR- 20 cpm
BT- 37.5
DIAGNOSIS
 Precipitate Labor and Delivery : labor that occurs withing 3 hours from onset
of contraction to delivery and occurs without warning.
 Patient had history of multiparity which made her a candidate for high risk of
labor.
 Furthermore, patient must undergo laboratory, ultrasound examination, and
continuous diagnostic tests (vital signs) for maternal and fetal monitoring.

CLASSIFICATION OF PRECIPITATE LABOR DISORDER


 Precipitate Dilitation
 Precipitate Descent

PREDISPOSING FACTORS
 Multiparity
 Large pelvis
 Lax unresisting maternal tissue
 Small baby in good condition
 Induction of labor: amniotomy and oxytocin administration
 Absence of painful sensation and thus a lack of awareness of vigorous labor

COMPLICATIONS
 MATERNAL: laceration of birth canal and uterine rupture, postpartum
hemorrhage, and amniotic fluid embolism
 FETAL: hypoxia, intracranial hemorrhage due to sudden change of pressure,
Erb-Duchenne Palsy, premature separation of placenta, and injuries as a
falling to the floor in unattended birth.

SIGNS AND SYMPTOMS


 Patient complains of a sudden, intense urge to push
 Sudden increase in bloody show
 Sudden bulging of the perineum
 Sudden crowning of the presenting parts

MEDICATIONS
 IVF therapy

INTERVENTIONS
 Administer IVF, fast drip.
 Note client’s level of consciousness and mentation.
 Monitor intake and output balance.
 Monitor vital signs.
 Encourage oral intake.
 Provide supplemental fluids as indicated.
 Administer medications as indicated.
 Review appropriate use of medications.
 Provide emotional support.
 Maintain a calm, deliberate manner. Offer clear and concise instructions.
Provide explanations.
 Provide a quiet environment and privacy within parameters of the situation.
Position client for optimal comfort.
 Encourage partner or SO to remain with the client, provide support and
assistance as needed.
 Remain with the client. Provide ongoing information regarding labor
progression and anticipated delivery.
 Encourage appropriate coping or relaxation techniques.
 Arrange for services of medical or midwife staff as soon as possible. Inform
client that help has been requested.
 Conduct delivery in a calm manner; provide ongoing explanation.
 Place newborn on maternal abdomen once newborn respirations are
established.
 Dry and wrap the infant immediately to prevent heat loss.
 Place hand in fundus to make sure it remains firm and check the infact
frequently for regular respirations.
 Do not try to hasten placental delivery by pulling the cord or applying fundal
pressure.
 After placental delivery, massage fundus to promote uterine contraction.
 Determine 1 and 5 minute APGAR scores to check the baby from injury after
birth and examine the woman for lacerations.
 Cord clamping and cutting.

NUTRITION
 Bland diet

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