Presented by Cindy Parke, RNC, C-EFM, CNM, MSN
- Review labor physiology, pathophysiology, and components of effective labor progress and develop effective patient assessment, care, and management techniques that assist birth physiology.
• Develop policies/strategies for labor induction and augmentation based on respect for physiology, safety, evidence and NICHD recommendations.
• Recognize and respond to abnormal labor patterns including tachysystole and dystocia.
• Review pain assessment and management in labor including non-pharmacologic and pharmacologic care techniques.
• Identify adverse fetal response to labor, causation, clinical observations, interventions, and intrauterine resuscitation.
• Review new NICHD definitions, categories, and necessary nursing actions.
• Recognize a variety of pathologic and emergent labor situations including GH, Diabetes, Uterine Rupture, Hemorrhage, DIC, and appropriate management and documentation issues.
- Identify normal and abnormal parameters in the second stage; explore new research-based second stage management.
- Describe risk factors for shoulder dystocia noting clinical interventions and techniques to improve outcomes, and decrease liability.
- Describe indicators of stage III-IV labor emergency situations.
- Develop essential documentation and chart review skills for safer patient care.
- Locate and utilize key web resources for L&D skill building to enhance safe maternity and newborn care.