2023 Module 4 Active Labour - How can we assess a woman's labour? by Renae Coleman https://padlet.com/naecoleman/strbgfemr43szqv2 Without the use of vaginal examination en-us 2023-08-02 02:34:15 UTC 2023-08-18 05:01:37 UTC hello@padlet.com https://padlet.com/naecoleman/strbgfemr43szqv2/wish/2658438929 Has the way the woman is verbalising through contractions changed? Is she able to speak through them vs is she roaring through? 
Hows her demeanour? Is she still chatty and interacting between contractions or is she very focused and in 'labour land'?
The purple line can appear in the cleft of the buttocks as labour progresses for some women, as well as the rhombus of Michaelis at the lower back ]]> 2023-08-09 03:11:32 UTC https://padlet.com/naecoleman/strbgfemr43szqv2/wish/2658438929 Mostly by her behaviour and the way she's communicating. Alongside the pattern, regularity and strength of contractions; a woman's behaviour is the most accurate indication of how her labour is progressing. This can be challenging if we do not know the woman personally, as we may not be aware of what's most confronting for her or what her fears may be and how she felt about birth prior. Generally, the more inward a woman becomes and less able to converse is a good sign of active labour. https://padlet.com/naecoleman/strbgfemr43szqv2/wish/2659177812 2023-08-10 04:07:35 UTC https://padlet.com/naecoleman/strbgfemr43szqv2/wish/2659177812 https://padlet.com/naecoleman/strbgfemr43szqv2/wish/2659220673 Starting with the gold standard of continuity of care, our ability to assess labour in our birthing woman is greatly enhanced. Through therapeutic communication and information sharing we could assess her emotional state and her physical behaviours to assist in determining the progression of labour. ]]> 2023-08-10 05:43:58 UTC https://padlet.com/naecoleman/strbgfemr43szqv2/wish/2659220673 https://padlet.com/naecoleman/strbgfemr43szqv2/wish/2659916300 Early on in labour a woman may be able to talk during contractions. As they become more intense she might only talk between them. And contractions can be externally palpated, for timing, length, strength and tone. 

The vocalisations that a woman makes often change during the course of the labour from crying out sounds to more grunting noises. As the baby's head descends past the bowels they often empty. And transition is often a time when women say that they can't go on, or want some pharmacological form of pain relief, or want to go home. ]]> 2023-08-11 03:47:06 UTC https://padlet.com/naecoleman/strbgfemr43szqv2/wish/2659916300 https://padlet.com/naecoleman/strbgfemr43szqv2/wish/2660044293 - Communicating with the woman to determine the regularity and timing of contractions as well as intensity and pain level.
- Waters may be broken at this point?
- Appearance and demeanour of woman]]> 2023-08-11 06:58:09 UTC https://padlet.com/naecoleman/strbgfemr43szqv2/wish/2660044293 https://padlet.com/naecoleman/strbgfemr43szqv2/wish/2660771680 Measuring the number of contractions during 10 minutes period. by holding your hand over the woman's abdomen feeling for the fundas and measuring the length and frequency of contractions in the 10 minutes. ]]> 2023-08-13 02:13:57 UTC https://padlet.com/naecoleman/strbgfemr43szqv2/wish/2660771680 listen to the woman, is she coping? what are her contractions like? has she transitioned? does she feel like pushing? https://padlet.com/naecoleman/strbgfemr43szqv2/wish/2660806584 2023-08-13 06:27:58 UTC https://padlet.com/naecoleman/strbgfemr43szqv2/wish/2660806584 Listen. https://padlet.com/naecoleman/strbgfemr43szqv2/wish/2660834773 Always listen to the woman, especially if she is a multip ask her and listen, if she has done it before she is most likely going to tell you how she is doing and where she feels she is in her labour.]]> 2023-08-13 08:32:35 UTC https://padlet.com/naecoleman/strbgfemr43szqv2/wish/2660834773 https://padlet.com/naecoleman/strbgfemr43szqv2/wish/2661087840 https://images.app.goo.gl/SNH6HWSrEuxxY8AQ7]]> 2023-08-14 02:12:24 UTC https://padlet.com/naecoleman/strbgfemr43szqv2/wish/2661087840 Assessing a woman in labour involves monitoring physical and emotional changes to determine the progress of labour and identify any potential complications. This includes monitoring the frequency and intensity of contractions, assessing cervical dilation, monitoring fetal heart rate, and assessing maternal vital signs. Also evaluating the woman's pain level and emotional state to provide comfort and support. https://padlet.com/naecoleman/strbgfemr43szqv2/wish/2665500536 2023-08-18 05:01:27 UTC https://padlet.com/naecoleman/strbgfemr43szqv2/wish/2665500536