User:Dhatguy Redolf/sandbox

Management Of Second Stage Of Labour The pregnant woman was sent to the labour ward. I then explained to her that her cervix was fully dilated for the baby to be born and transferred her to the delivery bed. I ensured that bladder was emptied before I assisted her into the position that she chose and preferred which was latex foam with a rubber Macintosh placed under her buttocks I drew nearby curtains down. I wore on my protective clotting (plastic apron, boots ,goggles and mask). I washed my hands with soap under running water and dried with sterilized towel and put in sterilized glove with a cotton wool scrab and an antiseptic solution (savelon).I clean the thighs, mod pubus and perineum with one scrab at a time. She was wrapped appropriately for delivery and vaginal examination was done to confirm full dilation of the cervix. The anal region was covered with a sterile pad to prevent contamination of delivery process with feaces and also prevent perineal tear. Client was encouraged to bear down with each contraction and rest between contractions. Maternal pulse and foetal heart rate were check by the assistant to know the condition of the mother and foetus. As labour progressed the anus gaped and the presenting part became visible with contraction. As the foetal head advanced, flevion was aided by gently pressing on the occiput with my index and middle fingers to allow the smallest diameter of the foetal skull to distend the perineum to prevent tear which can lead to bleeding, as the head crowned l asked her to give small push with contractions. The head was delivered by extension and the sinciput, chin and face swept the perineum. The baby head was born, I wiped baby's face,eyesnise and mouth gently with sterile gauze to ensure airway potent.I felt gently around the baby's neck for cord and none was detected. I supported the head and allow restitution followed by external rotation of the head indicating that the shoulders were lying in the anterior-posterior diameter of the pelvis outlet. I placed both hands on either side of the head and the anterior shoulder was delivered by downward and outward traction and the posterior shoulder by upward and outward traction. The rest of the body was delivered by lateral flexion onto mothers lower abdomen. At exactly 6:00 am, an alive crying male infant was delivered onto the mother's abdomen. I thoroughly dried the badly off with the cloth that was on her abdomen and I removed the wet cloth and covered badly with a warm dry cloth. I quickly assessed baby to see if he needs resuscitation but I detected baby was breathing normally. Using two sterile artery forceps ,I clamped the umbilical cord at 3cm away from the baby's abdomen and put the second clamp 2cm away from the first clamp. I held the cord with my non-dominant hand covered with sterile gauze to prevent blood from spilling in the delivery room and cut the cord between the two clamps with a sterile scissors. I palpated the abdomen to verify that there was no undiagnosed twin and none was found. I then went ahead and administered oxytocin 10 units intramuscularly on the left thigh at 6:02 am to help in the contraction of the uterus to expel the placenta and membrane. Baby was then showed to mother to identify its sex. It was then given to mother afterwards to cuddle and also iniate breastfeeding. I congregated her for her cooperation.