Labor and Delivery Assessment Essay

Internal foetal manageing is accomplished with a fetal scalp electrode that is a direct electrocardiogram of the FHR and therefore produces the around immaculate FHR tracing having an advantage over the external monitoring. The FSE is attached to the fetus during a vaginal exam and then connected to a fetal monitor. Because the hazard of transmission to the fetus is change magnitude by the sm all(prenominal) puncture in the fetal scalp, use of internal scalp electrodes should be avoided if at all possible in the presence of known p arntal infections such as HIV, hepatitis or GBS. Fetal scalp monitors are also avoided in preterm infants because of the increased risk of ventricular hemorrhage.Electronic monitoring of UCs mickle be through internally by using an intrauterine mash catheter (IUPC). It is inserted into the uterine caries through the cervical os. It reflects the pressure inside the uterine cavity. As the pressure changes, it traces on the graph paper. The IUPC pa ssel measure the resting tone of the uterus between contractions, referred to as frenzy. An advantage of an IUPC is that it provides a near-exact pressure measurement for contraction intensity and uterine resting tone. The sensitivity of the IUPC allows for very accurate timing of UCs, thus make it extremely useful when closer uterine monitoring is needed. A prejudice for both internal monitoring methods is that membranes must be ruptured and adequate cervical dilation must be achieved for insertion. The procedure is invasive and increases the risk of uterine infection or perforation or trauma. It can also cause a placenta rupture if the placenta is low-lying.Electronic FHR monitoring can be make outwardly by using an ultrasound (US) transducer. The transducer is placed on the maternal abdomen over the fetal back and held by an elastic belt. The US transducer can be more beneficial than auscultating the FHR because it provides a continuous graphic recording. It can show the bas eline variability and changes in the FHR. It is noninvasive and doesnt implore the rupture of membranes or minimal cervical dilation. FHR monitoring by US transducer is limited because it is susceptible to interference from maternal or fetal heading and may produce a weak signal. The tracing may blend in sketchy and difficult to interpret. Telemetry is another type external monitoring.It can monitor both FHR and uterine activity. This system can be worn on a shoulder strap by the mother, which allows the woman to walk, helping her ambulate while continuously monitoring. Electric monitoring of UCs can be done externally using a tocodynamometer or tocotransducer (toco). The toco is placed on the maternal abdomen at or near the fundus and held in place by an elastic belt. As the uterus contracts, pressure exerted against the toco is transmitted and recorded on to graph paper. The toco can assess UCs for oftenness and duration, but not intensity. The advantages are that it is non-i nvasive, easy to place, and may be used both before and adjacent rupture of membranes. It also provides a permanent, continuous recording of the duration and frequency of contractions.Explain what Pitocin is used forPitocin is used for the induction and/or augmentation of labor at term, facilitation of threatened abortion, and in postpartum to control release and prevent hemorrhage and uterine atony after expulsion of the placenta.pelvic ASSESSMENT FINDINGSGive convention findings and measurementsDiagonal conjugate extends from the suprapubic angle to the center(a) of the sacral nous. 12.5 cmIschial Spines arise near the junction of the ileum and ischium and lump into the pelvic cavity They serve as a reference buck during labor to elevate the descent of the fetal head into the birth canal. 10.5 cmPubic Arch three-sided space below the symphysis pubis. The head passes beneath this arch during birth. 1.5 2 c from diagonal conjugalCoccyx -small triangular bone that articu lates with the sacrum. It usually moves backward during labor to provide more mode for the fetus. 8cm in diameterSacrum wedge-shaped bone formed by the optical fusion of five vertebrae. On the anterior upper portion of the sacrum is the sacral promontory which is another guide in determining pelvic measurements.Types of PelvisGynecoid -The virtually common female pelvis is the gynecoid type. The breathing in is rounded, with the anteroposterior diameter a short(p) shorter than the transverse diameter. This is the most favorable for a vaginal delivery.Android The normal male pelvis is the android type however, it occasionally is seen in females. The inlet is heart-shaped.Anthropoid The inlet of an anthropoid pelvis is oval, with a long anteroposterior diameter and an adequate but rather short transverse diameter. This is the second most favorable for vaginal delivery.