My notes from birthing class
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.
