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Common Interventions

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A review of Fetal Monitoring, IV fluids, Pelvic Exams and Food & Drink during labor.
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4 Categories 16 Questions
Uses discs held in place with elastic belts or bands. One disc measures & records baby's heartrate, while the 2nd disc records the pressure changes of the uterus from a conx. Internal exam may be done in pregnancy or labor to asses changes in cervix, descent of baby into pelvis and/or to asses positioning of baby.
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Questions
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Category 1
Q.
Uses discs held in place with elastic belts or bands. One disc measures & records baby's heartrate, while the 2nd disc records the pressure changes of the uterus from a conx.
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What is Fetal Monitoring?
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Internal exam may be done in pregnancy or labor to asses changes in cervix, descent of baby into pelvis and/or to asses positioning of baby.
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What are cervical checks/exams?
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A small catheter placed into hand or forearm during labor to give fluids and medication.
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What is IV access and/or Fluids?
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A spiral scalp electrode placed on baby's scalp to more accurately track baby's heartrate. A thin tube placed into the uterus alongside the baby to measure the strength of contractions.
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What is Internal Fetal Monitor/Fetal Scalp Electrode and Internal Uteritheter/IUPC?ne Pressure Ca
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Category 2
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May shorten labor by 16min and no other difference is health outcomes.
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What is eating and drinking in labor?
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May provide information to help gauge the progress of labor or when making decisions about inducing labor.
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What are cervical checks/exams?
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Intermittently using this allows greater freedom of movement and access to hydrotherapy. Plus added confidence of baby's well being.
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What is fetal monitoring?
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Evidence supports that birthers who took in more fluids had shorter labors by 30min; either with a combo of this procedure & orally, or each on their own. This suggests mild dehydration could contribute to slightly longer labors.
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What is IV access and/or fluids?
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Category 3
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Routinely using this has not been shown to improve outcomes during labor. Research supports this places babies at a greater risk of having weight loss of more than 10% following birth, which can lead to a cascade of breastfeeding issues.
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What is IV access and/or Fluids?
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Continuous usage of this increases the rates of second stage interventions by 15% (forceps/vacuum) and cesarean birth by 63% without significantly improving outcomes for baby.
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What is fetal monitoring?
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This can be uncomfortable and increase the risk of infection and the possibility of breaking the bags of water. They are not always accurate and dependent on the care provider performing this.
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What are cervical checks/exams?
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Restricting this can lead to ketosis, making stomach juices more dangerously acidic if there were an aspiration.
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What is eating and drinking in labor?
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Category 4
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Birther's behavior, the height of the fundus and the purple line.
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What are cervical checks/exams?
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Hand-held doppler and/or wireless monitors (such as the Monica)
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What is fetal monitoring?
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Drink fluids with electrolytes, and caloric energy (such as broth).
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What is IV access and/or fluids?
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A light meal in early labor, with fluid like snacks (such as applesauce and honey sticks) later in labor. Or focusing on proper fluid intake.
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What is eating and drinking in labor?
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