What is the management of 2nd stage of labour?
With increased use of regional anesthesia, electronic fetal monitoring and the shift in favor of active management of labor, the second stage is often accompanied by forceful bearing-down efforts, repeated Valsalva maneuvers and an increase in the use of forceps, vacuum extraction and episiotomies.
What are the nursing interventions in the 2nd stage of labor?
In conclusion, nursing care during the second stage of labor should be characterized by support to women in making active decisions about their care and labor man- agement; by strategies to prolong the early passive phase of fetal descent; support in involuntary bearing-down efforts; the provision of instruction or …
How do you monitor the progress of second stage of labour?
When the woman enters the second stage of labor with complete cervical dilatation, the fetal heart rate should be monitored or auscultated at least every 5 minutes and after each contraction during the second stage.
What happens during 2nd stage of labor?
In the second stage of labor, your cervix is fully dilated and ready for childbirth. This stage is the most work for you because your provider wants you to start pushing your baby out. This stage can be as short as 20 minutes or as long as a few hours. It may be longer for first-time moms or if you’ve had an epidural.
Why is oxytocin administered during the second stage of labor?
Once complete cervical dilation has been achieved, most providers choose to continue oxytocin in the second stage of labor for the theoretic benefit of increased expulsion “power” while pushing.
What are the two phases of second stage of labour?
There are two phases of the second stage of labor, the passive stage and the active stage.
What are the complications of second stage of Labour?
A prolonged second stage of labor is known to be associated with increased risk of certain maternal complications, such as infection, urinary retention, hematoma, and ruptured sutures in the early postpartum period.
How do you conduct the second stage?
Objectives
- Identify the onset of the second stage of labour.
- Decide when the patient should start to bear down.
- Communicate effectively with the patient during labour.
- Use the maternal effort to the best advantage when the patient bears down.
- Make careful observations during the second stage of labour.
What is the 2nd stage of labor called?
Most women feel the urge to push during this phase. In most cases, the active and transition phases are shorter than the latent phase. The second stage of labor begins when the cervix is completely opened and ends with the delivery of the baby. The second stage is often referred to as the “pushing” stage.
Is oxytocin given IM or IV?
Oxytocin can be given intravenously or intramuscularly [11]. The intramuscular (IM) route has the advantage of ease of administration and requires relatively less skill to administer. Following IM injection, the effect on the uterus appears within 3–7 min and persists for 30–60 min.
What is the difference between oxytocin and pitocin?
What’s the difference between pitocin and oxytocin? Oxytocin is a naturally occurring hormone in your body. Pitocin is the synthetic drug created to mimic one of this hormone’s primary actions: bringing about labor.
What are the complications of 2nd stage of Labour?
When does nursing management of second stage of Labour begin?
NURSING MANAGEMENT OF SECOND STAGE OF LABOUR. 2. 3. The second stage is that of expulsion of the fetus. It begins when the cervix is fully dilated and the woman feels the urge to expel the baby. It is complete when the baby is born. 4. Its average duration is 2 hours in primigravidae and 30 minutes in multiparae.
What to do during the second stage of Labor?
In case of a prolonged second stage of labor and for fetal bradycardia, use of instrumental delivery (vacuum extractor [Ventouse] or forceps) may help shorten the second stage of labor and reduce the need for cesarean delivery,.
What are the phases of the first stage of Labour?
Phases of first stage of labour The latent phase: is the time between the onset of labour and 3- 4 cm dilatation and cervix becomes fully effaced.
Where does the process of Labour take place?
Series of events that takes place in the genital organ in an effort to expel the viable products of conception out of the womb through the vagina into the outer world is called labour. there are four stages of labour. 1. Labour, Stages and its Physiology Shrooti Shah M.Sc.Nursing Batch 2011