High Risk Pregnancy
High Risk Pregnancy- is one in which a concurrent disorder, pregnancy related complications or external factor jeopardizes the health of the woman, the fetus or both.
Complications with POWER
Dystocia- can arise from any of the four main component of the labor process: Power, Passenger, Passageway and Pysche.
-defined as a long, difficult, abnormal labor.
Causes
-Power: dysfunctional labor
-Passageway: alterations in pelvic structure
- Passenger: fetal malpresentation or anomalies
- Pysche: psychologic response of the mother to birth
Risk factors:
-CPD
-overstimulation of oxytocin
-body build
-congenital malformations
Interventions:
-Asess maternal and fetal well being
- Cervical ripening
-Induction or Augmentation w/ oxytocin
Inertia- a time honoured term to denote that sluggishness of contractions or the force of labor has occurred. Also called as Dysfunctional Labor.
Ineffective Uterine Force
-abnormal or ineffective labor
A. HYPOTONIC CONTRACTIONS
- Number of contraction is unusually low or infrequent (not more than 2 0r 3 occurring in a 10min. Period)
-Resting tone of the uterus remains less than 10mmHg and the strength of contractions does not rise above 25mmHg
-Contractions are not exceedingly painful, because of their lack of intensity
-Increase length of labor because it requires more uterine contractions
- Can cause the uterus not to contract effectively during postpartum because of exhaustion, increasing chance of postpartum haemorrhage.
Risk factors:
-Bladder distention prevent descent
-A uterus that is overstretched because of multiple gestation
-Administration of analgesia
B. HYPERTONIC CONTRACTIONS
-Marked by an increase in resting tone more than 15mmHg
-Contractions then to occur frequently
-Occur because muscle fibers of myometrium do not repolarize or relax after a contraction
-They tend to be more painful than usual because the myometrium becomes tender from constant
High Risk Pregnancy- is one in which a concurrent disorder, pregnancy related complications or external factor jeopardizes the health of the woman, the fetus or both.
Complications with POWER
Dystocia- can arise from any of the four main component of the labor process: Power, Passenger, Passageway and Pysche.
-defined as a long, difficult, abnormal labor.
Causes
-Power: dysfunctional labor
-Passageway: alterations in pelvic structure
- Passenger: fetal malpresentation or anomalies
- Pysche: psychologic response of the mother to birth
Risk factors:
-CPD
-overstimulation of oxytocin
-body build
-congenital malformations
Interventions:
-Asess maternal and fetal well being
- Cervical ripening
-Induction or Augmentation w/ oxytocin
Inertia- a time honoured term to denote that sluggishness of contractions or the force of labor has occurred. Also called as Dysfunctional Labor.
Ineffective Uterine Force
-abnormal or ineffective labor
A. HYPOTONIC CONTRACTIONS
- Number of contraction is unusually low or infrequent (not more than 2 0r 3 occurring in a 10min. Period)
-Resting tone of the uterus remains less than 10mmHg and the strength of contractions does not rise above 25mmHg
-Contractions are not exceedingly painful, because of their lack of intensity
-Increase length of labor because it requires more uterine contractions
- Can cause the uterus not to contract effectively during postpartum because of exhaustion, increasing chance of postpartum haemorrhage.
Risk factors:
-Bladder distention prevent descent
-A uterus that is overstretched because of multiple gestation
-Administration of analgesia
B. HYPERTONIC CONTRACTIONS
-Marked by an increase in resting tone more than 15mmHg
-Contractions then to occur frequently
-Occur because muscle fibers of myometrium do not repolarize or relax after a contraction
-They tend to be more painful than usual because the myometrium becomes tender from constant