Intervention (labor slows down), ask before they go ahead:
1) o2
2) changing positions
3) hydrating
Morphine
NO2
Fentanyl
Epidural
Pudendal block
Spinal anaesthesia - c-section
General
Special situations:
Continuous monitoring - if medication or Heart rate concerns
Internal monitor - 90 bpm or thereabouts.
Thick maconium (!), amniotomy - saline flush (?)
Pro-dromo labor, long early. When you finally go in they will offer morphine. Natural induction strategies include nipple stimulation, caster oil, walking, semen, orgasms, sweeping the membranes, amniotomy perhaps with a ripening agent, prostaglandin gel, foley bulb catheter, pitosin
Ripening agents: misoprostil/cervadil
“ripen the cervix”
Vacuum extraction. Awesome diagram. Can bruise, redden, slight hematoma. Forceps. Bad news.
Cesarian section: umbilical prolapse, placental abruption, fetal malpresentation, non-reassuring fetal heart rate tracking, placental previa
When you go in, drink juice! This helps to present as active.
“ Of course, these players are different — you’re still sacrificing a lot for that $15 subscription — and even though the Zune HD is a tremendous media player with a lot of great features, we still don’t think it competes 1:1 with a device like the touch. Still, it competes, and for Microsoft and the Zune brand, that’s a major leap forward
— from Zune-lickers over at Engadget, who are wholly impressed by the new Zune’s ability not to match competitors, but to approximate something close to maybe approaching competing.
