Obstetric and Gynecological Nursing - The Carter Center

Management of Pregnancy
- Early diagnosis is important so as to provide dietary
advice on iron folic acid and vitamins which help to
keep her haemoglobin level normal
- Frequent antenatal check up to detect P.I.H.
- Admission to hospital for relief discomfort in later
pregnancy.
Labour and Delivery of multiple pregnancy
Effect on labour: - Labour occurs spontaneously before term
due to over stretching of the uterus or may be induced early if
complications arise. Preterm labour, babies light for dates and
malpresentation.
Management of delivery
1 st stage of labour: - should be conducted normally,
preparation should be made for the reception of two immature
babies. Good nursing care to alleviate minor discomfort. If
fetal distress occurs during labour, delivery will need to be
expedited, often by caesarean section. If the uterine activity is
poor the use of intravenous oxytocin may be required. If the
pregnancy is preterm neonatal care unit should be informed.
Two incubators should be in readiness. The room should be
warm.
133