Essays on Perineal

Age: 34 Yrs

LMP: October 28, 2015 EDC: August 10, 2016 Gestation: 40 weeks Obstetric History: Elena is a 34-year-old female who presents to the maternity clinic with labor pains. The client is a G3 P3 T3 A0 L2. The previous children were delivered by normal vaginal birth. She had a pre-pregnant weight of 137 lbs and a current weight of 176 lbs.

First Stage of Labour

The patient reports that contractions started seven hours ago at home. The contractions are regular occurring after approximately five minutes with a duration of 45 to 60 seconds. The cervical dilation is at 6cm. After two hours, the contractions ...

Patient history

JM is a 28-year old Hispanic 38 weeks pregnant, admitted into the maternity unit. This is her first pregnancy and seems calm and relaxed, except for the normal anxiety of this stage of pregnancy. Her obstetric history; G1, T1, P1, A0, L0

1st stage

Subjective: The patient verbalizes that she is afraid of the delivery process because it is her first time into the maternity ward. Patient verbalizes extreme abdominal pains. Objective: Patient exhibits, facial tension, poor eye contact and grimacing observed. Patient appears anxious, pre-occupied as well as decreased perceptual field. Vital signs (T-370 C, BP- 138/74 mmHg, RR-14 cpm, ...

Since time immemorial, wounds and infections have been known to occur in pregnant women after parturition. Wound infection can result in increased discomfort and maternal morbidity in recently delivered mothers (2007, Fox). Wounds could result from tears in the perineum during parturition, instrumental deliveries, episiotomy site and surgical wounds after a caesarean section to deliver the foetus. Oftentimes, these wounds may become infected, causing puerperal pyrexia in the patients. Other forms of infections include; Genital tract infection, Urinary tract infection, upper respiratory tract infection and mastitis. Group A beta-haemolytic streptococci, Escherichia coli, Proteus spp, Staphylococcus aureus, klebsiella spp, Clostridium welchii ...