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Case 1

Case 1: A 22-year-old woman presents at the birthing center dilated to 8 cm with meconium-stained amniotic fluid after her water broke. Her contractions are 2-3 every 10 minutes. You must decide whether to continue monitoring her or refer her to the hospital 4 hours away due to the meconium and slow progress of labor. Case 2: A 29-year-old woman arrives at the birthing facility at 6 am in early labor and has progressed to fully dilated by 2 pm with clear amniotic fluid but has not delivered by 3 pm despite being fully dilated. You must determine if this stalled labor is normal and make a decision about her

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Patricia Ysabelle Ledesma
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531 views1 page

Case 1

Case 1: A 22-year-old woman presents at the birthing center dilated to 8 cm with meconium-stained amniotic fluid after her water broke. Her contractions are 2-3 every 10 minutes. You must decide whether to continue monitoring her or refer her to the hospital 4 hours away due to the meconium and slow progress of labor. Case 2: A 29-year-old woman arrives at the birthing facility at 6 am in early labor and has progressed to fully dilated by 2 pm with clear amniotic fluid but has not delivered by 3 pm despite being fully dilated. You must determine if this stalled labor is normal and make a decision about her

Uploaded by

Patricia Ysabelle Ledesma
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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CASE 1

► Caridad is a 22-year old G2P1 (1001) who arrives at your birthing center with an 8 cm dilated cervix at 2 pm.
Vital signs: BP- 100/70 mm Hg, PR-80/min; T-36.7°C.

► The BOW ruptures after 60 minutes of observation revealing meconium-stained amniotic fluid.

► On IE , the cervix is still 8 cm dilated even if the contractions are coming at 2-3 every 10 mins.
Vital signs: BP- 120/70, PR-90/ min, T- 37 °C.

► You are deciding whether to continue monitoring her or to refer her immediately to the district hospital which
is 4 hours away. How will you decide?

CASE 2

► Alma is a 29-year old G4P3 (3003) who arrives at your birthing facility at 6 am. She lives in the island barangay 5
hours away so she decided to come even if the labor pains are still bearable. IE - cervix is 3 cm dilated, cephalic
presentation, intact bag of waters. BP- 100/60, PR- 85/min, T- 37°C.

► At 10 am, repeat IE -cervix 6 cm dilated.Vital signs remain the same.

► At 2 pm, the BOW ruptures showing clear amniotic fluid. IE shows a fully dilated cervix. Vital signs remain the
same.

► At 3 pm, the patient has not delivered even if the cervix is fully dilated on repeat IE.

► Is this “normal”? What will be your decision?

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