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Obstetric and Gynecological Nursing - The Carter Center

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2. Every 1 1/2 - 2 hours check bladder<br />

3. Every 4 hours – B/P. Temperature, abdominal examination<br />

for descent,V.E, urine test acetone, albumin<br />

Psychological methods of pain relief<br />

<strong>The</strong> personality of the mid wife is of paramount impurtancy in<br />

h<strong>and</strong>ing women in labour. Many midwives have by their<br />

sympathetic underst<strong>and</strong>ing manner unknowingly used<br />

psychological mortheds of pain relief.<br />

Cleanliness Antisepsis, Asepsis<br />

<strong>The</strong> woman must be protected by every available means from<br />

infection which may cause ill-health with loss of life.<br />

<strong>The</strong> woman is venerable to infection at this time.<br />

<strong>The</strong> Partograph<br />

PARTOGRAPH – Managerial tool for the prevention of<br />

prolonged labour:- Measuring progress of labour in relation to<br />

time.<br />

Observations charted on partograph<br />

a) <strong>The</strong> progress of labour with time<br />

- Cervical dilatation<br />

- Descent of fetal head<br />

Descent: abdominal palpation of fifths of head felt above the<br />

pelvic brim.<br />

84

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