My Patient 's Labor And Delivery

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Introduction During my labor and delivery rotation at East Georgia Regional Medical Center, I was immediately introduced to my patient. A 41 year old Caucasian female who presented with labor on October 16, 2014 at 0020. Her GPTPAL profile is 12, 7, 7, 0, 4, 7 and the patient weighed 138.1 kg. Mom is allergic to Penicillin, Demerol, Compazine, Imitrex, and latex. At the time of my assessment, she had just reached 10cm of dilation and was beginning to push. The purpose of this paper is to discuss the aspects of my patient 's labor and delivery as compared to the normal stages of labor as described in our text, Maternal Child Nursing Care. This paper will also discuss a Natural Alternative and Complimentary (NAC) intervention that could have…show more content…
The woman should present with mild to moderate contractions with an irregular rhythm approximately five to thirty minutes apart. The contractions should last between 30 and 45 seconds in duration. There should be no show, regardless if it is the woman’s first pregnancy or not. Brownish discharge, mucus plugs, or pink mucus should be present in scant amounts. The laboring woman should be excited with her thoughts centering on herself, her baby, and her labor. Her affect depends on her unique situation on the acquisition of pregnancy (Perry et al., 2014) Active phase. This stage occurs when the cervix hits four centimeters and end when it hits seven centimeters. It usually lasts three to six hours with moderate to strong contractions. The rhythm of the contractions become more regular and occur three to five minutes apart. The contractions last approximately 40-70 seconds. Pink or bloody mucus is expelled vaginally in scant to moderate amounts. The laboring woman becomes more doubtful of pain control and more apprehensive. She desires more encouragement and has starts to have some difficulty following directions (Perry et al., 2014) Transition phase. The cervix rapidly dilates and descent increases to the point of presentation. This phase lasts for about 20-40 minutes and coincides with the cervical dilation of eight to ten centimeters. The contractions become strong and regular, usually occurring two to three minutes apart. They last 45-90
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