Health

Complications of the third stage of labor

Complications of the third stage of labor

All women who deliver are at risk of complications in the third stage of labor. These complications include PPH, retained placenta, and uterine inversion. Others include conditions that commonly manifest for the first time during the third stage (eg, placenta accreta and its variants).Nov 25, 2020

What happens if the 3rd stage of labor takes too long?

When the third stage of labor is prolonged beyond 20-24 minutes (as opposed to the 30 minutes that was the earlier benchmark), it may be a risk factor for postpartum hemorrhage (PPH) which kills more than 1.25 million women a year.

What happens in the 3rd stage of labor?

The third stage of labor is when your uterus continues to contract to push out the placenta (afterbirth) after your baby’s birth. The placenta usually delivers about 5 to 15 minutes after the baby arrives.

What are the symptoms of third stage of labour?

The labor process has now entered the third stage, ie, delivery of the placenta. Three classic signs indicate that the placenta has separated from the uterus: (1) The uterus contracts and rises, (2) the cord suddenly lengthens, and (3) a gush of blood occurs.

What causes prolonged third stage of labour?

The third stage of labour is prolonged in approximately 3% of all deliveries. This may be caused by the uterus not contracting well, the umbilical cord snapping, or abnormal attachment of the placenta.

What are the risks of prolonged Labour?

Risks Associated with Prolonged Labor
  • Low or inadequate oxygen, resulting in hypoxia, asphyxia, acidosis, and hypoxic-ischemic encephalopathy (HIE)
  • Fetal distress.
  • Infection.
  • Intracranial hemorrhaging.

What is third stage hemorrhage?

The third stage of labor refers to the interval from the birth of the newborn to expulsion of the placenta. The major complications of the third stage of labor are: ?Hemorrhage (see “Overview of postpartum hemorrhage” and “Postpartum hemorrhage: Medical and minimally invasive management”)

What are the benefits of active management of the third stage of labor?

Active management of the third stage of labor (i.e., administration of a uterotonic medication before the placenta is delivered, early clamping and cutting of the umbilical cord, and application of controlled traction to the cord) is associated with reduced maternal blood loss, fewer cases of postpartum hemorrhage, and

What happens during the third stage of labor quizlet?

Stage 3: The third stage of labor is when the mother’s body expels the placenta and the remainder of the umbilical cord, which was cut when the baby was delivered.

What is the third stage?

The third stage of labor is the shortest and the easiest. After your baby is born and the umbilical cord is cut, there is usually a lull for several minutes. Then your uterus starts contracting again.

What causes failure to progress in labor?

During the active phase, if the baby is too large, the birthing canal is too small, or the woman’s pelvis is too small, delivery can take longer or fail to progress. Carrying multiples may also lead to prolonged labor, as might weak uterine contractions, or an incorrect position of the baby.

What is fetal distress?

Fetal distress is a sign that your baby is not well. It happens when the baby isn’t receiving enough oxygen through the placenta. If it’s not treated, fetal distress can lead to the baby breathing in amniotic fluid containing meconium (poo).

What is dystocia in labor?

Labor dystocia refers to abnormally slow or protracted labor. It may be diagnosed in the first stage of labor (onset of contractions until complete cervical dilation) or the second stage of labor (complete cervical dilation until delivery). Dystocia is responsible for most cesarean deliveries.

During which time is the nurse correct to document the end of the third stage of labor?

During which time is the nurse correct to document the end of the third stage of labor? Explanation: The third stage of labor concludes with the delivery of the placenta. The nurse is correct to document that time in the medical record.

What are the side effects of Pitocin?

What Are Side Effects of Pitocin?
  • redness or irritation at the injection site,
  • loss of appetite,
  • nausea,
  • vomiting,
  • cramping,
  • stomach pain,
  • more intense or more frequent contractions (this is an expected effect of oxytocin),
  • runny nose,

Which of these third stage management strategies would help prevent hemorrhage?

Practice active management of the third stage of labor during obstetrical delivery to prevent postpartum hemorrhage. Active management includes prophylactic administration of uterotonic agent with the delivery of the baby, early clamping and cutting of the umbilical cord, and constant controlled cord traction.

What drugs are used in the active management of the third stage?

Uterotonic agents
  • Oxytocin: Oxytocin is the most commonly used agent and the primary drug of choice in the TSL. …
  • Ergometrine (methergine): Ergot alkaloids exert various effects throughout the body on at least three different types of receptor. …
  • Syntometrine: This contains 5 IU oxytocin and 0.5 mg ergometrine.

How does retained placenta cause hemorrhage?

The Trapped Placenta is left inside the uterus. Placenta Accreta: is when the placenta attaches to the muscular walls of the uterus instead of the lining of the uterine walls. Delivery becomes more difficult and often results in severe bleeding. Blood transfusions and even a hysterectomy may be required.

Which of the following events occur during the third stage of labor?

The third stage of labor commences with the completed delivery of the fetus and ends with the completed delivery of the placenta and its attached membranes. The clinician immediately recognizes that from a practical perspective, the risk of complications continues for some period after delivery of the placenta.

Which statement is correct regarding the third stage of labor quizlet?

Which statement is correct regarding the third stage of labor? Delivery of the placenta occurs in this stage.

Why is the third stage of labor important quizlet?

The period from delivery of the baby to the full expulsion of the placenta and membranes, and control of bleeding.

Back to top button