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19 Cards in this Set
- Front
- Back
surigcal incision of the perineum to enlarge the outlet for birth of the baby
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episiotomy
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begins at center of perineum and extends downward
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midline
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begins at midline and extends at 45 degree angle to the R or L
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mediolateral
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episiorrhaphy
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term for repair
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purpose of episiotomy (2)
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decreases risk of laceration
minimizes overstretching of tissues |
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Preventative measures to reduce episiotomies (4)
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kegel exercises
perineal massage in lst 4-5wks spont pushing in 2nd stage avoid pulling back legs |
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fourchette, perineal skin, and vaginal mucuos membranes
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1st degree
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third degree plus extends through rectal mucosa to lumen of rectum
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4th degree
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perineal skin, vaginal mucous membrane, underlying fascia, and muscle layer
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2nd degree
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second degree plus anal spinchter, may extend up to the anterior wall of the rectum
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3rd degree
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NSG care following episiotomy or lacerations (4)
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ice pack x20min
REEDA good hygiene sitz bath pain mgt |
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additional NSG care for 3rd and 4th degree lacerations (2)
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nothing per rectum
MOM or mineral oil |
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complications associated with episiotomies and lacerations (4)
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increased blood loss
increased infection risk increased pain dyspareunia |
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dyspareunia
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painful intercourse
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More likely to occur with subsequent births in women with episiotomies
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repeat trauma
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extension to or through the anal spinchter is more likely
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with midline episiotomy
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heal more quickly than perineal tears
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perineal lacerations
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makes it more likely to that the woman will have deep perineal tears
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presence of episiotomy
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shoulder dystocia
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difficulty delivering shoulder in LGA infant
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