Introduction
Childbirth is always a heroic act; despite all the naturalness, it is a complex physiological process that requires great efforts from a mother and child, professionalism, and attention from a medical specialist. However, one should understand that all kinds of rapid childbirth are characterized by pathological delivery, in which the period of the expulsion of the fetus is short and can have severe consequences for both a mom and a baby. This paper aims to thoroughly analyze the situation concerning the care and assistance of the patient-the victim of precipitous labor and her newborn child.
Analysis
Primarily, the care plan should aim at the well-being of the mother and baby and prevent undesirable consequences. In particular, attention should be paid to slowing down bleeding until the uterus becomes elastic; oxytocin may be administered after the placenta exits to reduce myometrium and hemostasis. Nursing care for newborns in the first months of life should be based on helping a young mother to master the basic skills of caring for a child, assistance in organizing the daily routine, advice on various issues, and training in massage and gymnastics techniques following the age of the baby. Accordingly, nursing diagnostics for both mom and baby should be based on specific symptoms and, in particular, data from a graphical representation of the course of labor.
Signs and symptoms of rapid labor are very diverse and imply the presence of intense pain, a feeling of pressure, and contractions. A rapid birth can have several potential difficulties for the mother or child. For the mother, there may be an increased risk of rupture and tearing of the cervix and vagina, bleeding from the uterus or vagina, coc after birth, which increases the recovery time, delivery in a non-sterile environment, for example, in a car or public toilet, risks of infection, both mother and child. A child has a potential danger of aspiration by amniotic fluid.
As a nurse, I would strive to create favorable conditions for both the patient and her baby, providing assistance and support at all stages, monitoring their condition and consulting with colleagues regarding the best care. In particular, attention should be paid to the psychological state of the mother. However, it should be understood that such a case is an isolated one and no one is immune from such cases. However, nurses should pay more attention to patients.
Rapid and impetuous childbirth is a complication that develops due to a violation of the normal regulation of labor activity. The result of such a “rush” can be severe ruptures of the birth canal, uterine bleeding and even complications for the baby. Accordingly, if proper measures are not taken, employees may face legal consequences due to inattention, negligence and lack of surgical interventions. However, on the other hand, the birth was successful, but not without complications.
At the moment, specialists are obliged to make every attempt to help the baby, although, of course, it is very difficult to predict their survival and health status – and this is bad news. The good news is that according to statistics, the largest percentage of premature birth occurs in the period from 34 to 37 weeks of pregnancy, when the prognosis for a premature baby is most favorable. From 34 weeks, children are quite viable, and now at some international medical congresses there is a proposal to consider urgent childbirth from 34 weeks.
Conclusion
Rapid childbirth is a serious pathology associated with violations of the contractile function of the uterus and childbirth of this type most often has a very rapid and violent beginning. It is known that women who give birth to a baby at 36 weeks are more likely to give birth rapidly, which is dangerous with a rupture of the perineum. There is also a negative relationship between the number of births and the condition of newborns. However, special attention should be paid to the health of the patient and her baby, and support should be provided in case of difficulties.