Labor | Reproductive system physiology | NCLEX-RN | Khan Academy

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Опубликовано:

18 мар 2015

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Комментарии : 36

@mieshavargas1345 6 лет назад

I wanted to show this to my childbirth class, but I can't because of the comments re: dilation being "so predictable" and needing to happen 1.2 to 1.5 cm per hour. That is not backed up by good (recent) evidence. In fact, the most recent evidence has shown that the length of healthy labor can vary much more widely than we thought.

@MorganSwor 7 лет назад

I thought this presentation was done very well but I have to say I have issue with the description of the Active Phase of labor. Labor is not "So, so predictable." There are many reasons a woman would not dilate at the rate described. This is how we have ended up with such a high cesarean rate in the U.S..

@forevaXXI 7 лет назад

Morgan Swor I think you have a valid point (every pregnancy is not the same), but I have to point out that this "prediction" or expected outcome is based on a vaginal delivery without complications. This is similar to when students over think things on the NCLEX exam; adding more ideas and scenerios thus selecting wrong answer.

@shawnbenoit3774 5 лет назад

bishop score

@rumouredsimmer 7 лет назад

Thank you so much. Another is: Patient, this includes maternal exhaustion, position, pain and psychological condition. Preparing for my final year OSCE on Thursday, your videos are really helpful.

@ericadani 4 года назад

I have so many questions regarding labor, as I am sure many do, because of the many variables and signs that denote when a woman is changing from one stage to the next. I am mostly curious in knowing more in regard to the best time to contact doulas, midwives, and healthcare providers. This video was very informative in the breakdown stages of labor and how to advise mom on what she is experiencing and WHY (which, as a learner, I am most intrigued about). As a doula, or informational support, having this knowledge is indispensable to my profession. Thank you! #birthinglittlehumans (your illustrations are TOP-NOTCH!)

@thugtank 8 лет назад

Nice job . Helped me cover my final year obs syllabus . 👍🏼

@docsafi7749 7 лет назад

thumbs up for this awesome illustrations.. helped me alot as first year student of MBBS.

@tonyv2542 8 лет назад

Thank youuuu. I watched all your videos and all of them are awsomeee !

@thedust850 7 лет назад

u are an amazing teacher. Thanks

@xiaonaliu4712 7 лет назад

Your presentation is very clear.

@Anewmi30 8 лет назад

THANK YOU! THANK YOU! THANK YOU! GREAT JOB...

@mmfelhao 8 лет назад

Nice presentation

@addisababa7369 8 лет назад

I loved your lecture

@florencemzyece6416 5 лет назад

A well done presentation

@abrarzaman3646 9 лет назад

Good job .. 👍

@shamillahkhan1592 2 года назад

Beautifully explained thank you.

@nurseo5952 3 года назад

AMAZING!!!!!!!!!!!!

@Systolic120mmHg 7 лет назад

But I thought there were 4 P's (Powers, Passageway, Passenger, and Psyche)? Psyche is part of an emotional structure in which that can determine the woman's response to labor and influence physiological and psychological functioning.

@SUMEJORCOMIENZOAHORA 7 лет назад

There are more things than that... There are other seven "P" This is from "The labor progress handbook". 4) The Person-the woman: her beliefs, preparation, knowledge, and “capacity” for doing the work of labor and birth. (5) The Partner-how the woman is supported and the partner”s knowledge, beliefs, and preparation for the labor. (6) The People-the “entourage”-others who may be involved in the pregnancy, labor, and birth process, and who are working with the woman.The entourage also have their beliefs, prepara- tion, and knowledge of the process, and this interacts positively or negatively with those of the woman and her partner. (7) The Pain-the influence and experience of pain and the socio- cultural beliefs of the woman and her support system and her personal psychological environment. All this influences the woman’s capacity for coping with labor and birth. Clearly pain interpretation and pain control impacts the progress of labor. (8) The Professionals-the manner in which all members of the health care team support, inform and collaborate in care and information-sharing with the woman and her partner and support people, significantly influences the woman’s response to the labor and birth process. (9) The Passion-the journey of pregnancy, labor and birth, is one that is special and unique for all women. It is crucial for all involved in the care of women to recognize and honor this passion and allow this concept to guide us in our practice as we appreciate and guard the intimacy of this life-changing experi- ence. And we need to control our anxiety and need for perfection so that the woman can fully experience the passion even when the birth is complex and requires considerable help from us. (10) The Politics-You know it’s true!

@Jimpopal 6 лет назад

you can add 20 other non sense Ps but these three are what really matters in an intense and urgent environment.

@fighttheevilrobots3417 Год назад

@@SUMEJORCOMIENZOAHORA You are totally and completely correct and the comment below yours is wrong. I am 34 weeks pregnant and I wish all medical professionals thought of this list in such a clear, culturally competant and compassionate way as you have. It terrifies me that I will have to give birth with medical professionals who don't consider all 10 of these Ps.

@fighttheevilrobots3417 Год назад

@@Jimpopal You are so so wrong. I am 34 weeks pregnant and terrified to give birth around anyone as myopic and uncaring as yourself.

@CariBaez 6 лет назад

Ob is pretty interesting

@elizabethwhiteman4483 3 года назад

There are good things about an epidural for example it will be much easier to sleep although if you get an epidural you’re most likely in a hospital and everyone knows that hospitals are there for when you’re seriously ill or injured but you’ll be very sleep deprived

@mattcleech 2 года назад

My Braxton Hicks start at about 25 weeks and I always go pass my due date.

@suewolcott5291 4 года назад

You mention lightening. This is usually a first time mom phenomena .

@SojourningSouls 3 года назад

unfortunately, this is not normal physiologic labor :/

@india1939 6 лет назад

#birthinglittlehumans

@runningfromabear8354 Год назад

This is bullshit. Dilation rate isn't predictable. If this is what nurses are learning, no wonder they were completely useless in my experience. I had a long, slow latent phase with next to nothing happening despite 14 hours of induction. Then my water broke but I was only 2cm dilated. Nurse left 5-10 minutes after that. 10 minutes later I felt pressure. We pushed the button calling for someone to help. No one came. My husband went to the nurses station and they said they'd send someone down soon. My daughter was out two or three minutes later with just me and my husband there. Dilation phase doesn't give 2 shits about your timeline. It was the same with my other 2 kids. Early labour was slow and lacked progression. Then dilated 7-8cm in 10-15 minutes.