Atheer Nawaf Alanazi
202402104
Hala’s condition is Hypertonic Uterine Contraction
Hypertonic uterine contractions could have multiple causes that
include fetal malpresentation ,fetal malposition, overstimulation
with oxytocin and anxiety or maternal stress
Firstly, I will provide reassurance to the woman and ensure
that appropriate medical assistance is available.
Then I will promptly assess her labor status and alert the birth
attendant and staff as needed. I will evaluate the uterine
contraction patterns, cervical dilatation and effacement, and
fetal station and presentation.
Continuous fetal heart rate monitoring will be carried out to
detect any signs of fetal distress.
As labor progresses to the second stage, I will support the
perineum by applying gentle, firm pressure to reduce the risk
of perineal tearing.
After delivery of the fetal head, I will suction the newborn’s
mouth and nose to clear the airway, clamp the umbilical cord,
and proceed with routine care as for a normal vaginal delivery.
Fetal Meconium
Post Partum Haemorrhage
Hypoxia
Abruptio Placentae
Intracranial haemorrhage or Nerve damage
Low Apgar scores for the infant
Non reassuring electronic fetal monitoring
( Bradycardia and late deceleration )
Sarah’s condition is (PROM) which is
Premature rupture of membrane
1.Infection
2.Malpresentation
3.Incompetent cervix
4.Possible week areas in the fetal membrane
Some of the symptoms of PROM:
1. Leakage of clear amniotic fluid from the vagina which may present
as either a sudden large gush or a slow constant trickle of fluid
2. No contractions initially
3. Stable/normal fetal heart rate
Since the woman is at 36 weeks of gestation induction of
labour with oxytocin is indicated to reduce the risk of infection.
also continuing maternal and fetal monitoring is required to detect
complications early and perform the appropriate interventions
if labour is yet to progress or complications developed like fetal distress
prepare the woman for Cesarean section.