Stages of LBR
Stages of LBR
Stages of LBR
Management:
a. Assume what position is most comfortable for her.
b. Start monitoring progress of labor via partograph
Management:
a. Coach on proper bearing down techniques.
b. Encourage support persons to accompany during relaxation activities.
c. Update client and family members on progress of labor.
d. Administer HNBB as ordered to ripen the cervix.
e. FHT every hour
f. IE every 4 hours
Uterine
contractions
Duration: 20-40 seconds 40-60 seconds 60-90 seconds
Interval: 5-20 minutes 2-5 minutes 1 ½ -2 minutes
Intensity: mild-moderate moderate-strong moderate-strong
Management:
1. Prepare needed equipment for delivery
2. Anticipate needs of client and doctor.
3. Encourage on proper bearing down technique and breathing exercises.
4. Oxytocin 10 units after baby out.
5. Congratulate the mother!!!
6. Provide essential new-born care
Don’t do the ff Wipe off vernix Wipe off vernix -milk cord Too much
Get foot prints -apply any handling
Slap substance Give sugar water
or milk formula