Monday, March 9, 2009

being a nurse.. an OR DR nurse

Had a very tiring day.. had 3 Cesarean section, 1 Normal Spontaneous Delivery and 1 G1P0 on labor.. Labor watch.. I hate labor watch.. I prefer operations than monitoring labor watch... When we are talking about labor watch, it means monitoring uterine contractions and the progress of labor. When monitoring uterine contractions, we time the duration, the interval and the its frequency.. Duration starts from the beginning of a contraction to the end of the same contraction. Interval starts from the end of a contraction to the beginning of the next contraction. Frequency is from the beginning of a contraction to the beginning of the next contraction while intensity is the strength of a uterine contraction which has 3 phases namely: increment, acme and decrement.
It is not only the uterine contraction that is being monitored during labor watch. The nurse should also observe for bloody show. Bloody show is mucous tinged with blood. She should also take note of the cervical dilatation, effacement and station. Fetal heart tone of the baby is also checked to ensure both mother and baby is doing well.

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