Question

Mrs. Main. is a 27-y/o gravida 3, para 2, who was admitted at term at 6:30 p.m. She stated that she had been having contractions 7 to 10 minutes apart since 4 p.m. They last 30 seconds. She also stated that she had been having "a lot of false labor" and hoped that this was "the real thing". Her membranes are intact. Mrs. Main's temperature, pulse and respirations are normal, and her blood pressure is 124/80. The fetal heart tones are 134 and regular. Mrs. Main vaginal assessment is 4/ 80%/ +1 She reported her findings to the doctor and he ordered Fentanyl 50 mcg every hour as needed for pain.

3. After her membranes ruptured, her contractions began coming every 4 minutes and lasted 45 to 55 seconds. They were moderately strong. Why is it important to relax during her contractions? How can you help her with this?

Answer 1

It is important to relax during her contractions because - Stress can lead to increased heart rate and BP,shallower and more rapid breathing.

Prolonged stress may affect your baby.Increased hormones and chemicals caused by stress and anxiety can cross the placenta and reach the baby.

Benefits of relaxation during her contractions are -

1)It reduces the pain and the intensity of the contractions.

2)Helps to save energy so that you have more to use for labour

3)Allows labour to progress more easily.

4)Can help you to rest between contractions.

5)Helps you to cope with labour better.

How can you help her with this -

At the beginning and end of each contraction remember to take a deep,cleansing,relaxing breath.This not only helps sharpen her focus but also provides more oxygen for her baby,her muscles and her uterus.

Keep her calm,Provide reassurance that everything would be alright.

Teach her breathing techniques

Massaged on her back

Ask her to empty her bladder frequently.