Childbirth Terms/ Pre-delivery Emergencies

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Crowning
The head of the baby is visible through vaginal canal.

Meconium
A greenish staining of an infant who has been placed in distress during the birth process (hypoxia) – Fecal matter

Fundus
Upper part of the uterus, that, if massaged can control bleeding after delivery of the baby.

Vertex
The point or tip of an infant’s head, most births are vertex presentations

Para
Term used to refer to the number of DELIVERIES the woman has had.

Primipara
This is the woman’s first childbirth

Gravida
Term used to refer to the number of PREGNANCIES the woman has had

Primigravida
This is the woman’s first pregnancy

Fetus
Unborn baby

Neonate
A new born infant – up to 1 month old
– neonatal = around the time of birth

Infant
From 1 month old to 1 year old

Trimester
Splitting pregnancy into 3 parts
1 trimester = 1 – 3 months
2 trimester = 4 – 6 months
3 trimester = 7 – 9 months

Full Term Pregnancy
lasts 9 calendar months or 10 lunar months, *40 weeks

Gestation
The length of fetal development hopefully 40 weeks/ 9 months

Advanced Pregnancy
One that is in the 3rd trimester

PIH
Pregnancy Induced Hypertension (Preeclampsia)

S/S of Pregnancy Induced Hypertension
“classic triade”
1)Hypertension (140/90)
2)Protienuria
3)weight gain with edema

other S/S:
headache
Decreased urinary output
SEIZURES ===>turns it into ECLAMPSIA or TOXEMIA

Supine hypotensive Syndrome
the rapid onset of hypotension with associated symptoms resulting from inadequate venous return when the fetus occludes the inferior vena cava. (Mom is laying Supine)

When does pre-eclampsia become eclampsia?
After the mom is has a seizure.

ECLAMPSIA
aka “TOXEMIA”
tonic/clonic seizure
preceded by flashing lights or spots
preceded by epigastric pain or RUQ abd. pain

Placenta Abruptio
A premature separation of the placenta from the wall of the uterus. > 20 weeks gestation

S/S of Placenta Abruptio
PAIN and GOES INTO LABOR
Sudden 3rd trimester DARK RED Bleeding
uterine tenderness
Abd pain between contractions
Symptoms of shock greater than amount of blood loss

Placenta Previa
Abnormally implanted placenta – partially or completely covering the cervical opening.

S/S of Placenta Previa
PAINLESS
BRIGHT RED vaginal bleeding 3rd trimester
no uterine tenderness
no contractions
bleeding repetitive episodes over days/weeks

After a miscarriage, abortion, or birth what do we do with products of conception?
Transport with mom to the hospital for evaluation.

Gestational Diabetes
Unk. cause
babies may either be larger or smaller/premature
Increased risk for preeclampsia
Tx = DIET and EXERCISE

Abortion
termination of pregnancy BEFORE 20 weeks
vaginal bleeding

Pre-term birth
loss of fetus AFTER 20 weeks
vaginal bleeding

Spontaneous Abortion/Miscarriage
MOST FREQUENT cause of vaginal bleeding in the 1st trimester

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