High-Risk Births & Obstetric Emergencies. Chapter 36. INTRAPARTAL COMPLICATIONS. Interference with normal processes & patterns of labor/birth resulting in maternal or fetal jeopardy.
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GOAL = to minimize physical
/ psychological stress during labor/birth. Emotional support.
(vaginal exam ONLY if indicated by other signs of continuing labor progress)
IF LABOR CONTINUES:
1. Fatigue, exhaustion, dehydration.
2. Lowered pain threshold, loss of control.
3. Intrauterine infection.
Diagnosis: may be made by ultrasound, but frequently the diagnosis is made and confirmed at delivery, by inspection of the placenta.
NOTE: respiratory distress, hypoglycemia, hypo/hyperthermia are common S&S of neonatal infection.