Chapter 21: Nursing Management of Labor and Birth at Risk 1. Laura is a 26-year-old G2P1...

Chapter 21: Nursing Management of Labor and Birth at Risk

1. Laura is a 26-year-old G2P1 who had a caesarean delivery for fetal distress with her first pregnancy. Laura is now struggling with deciding between a repeat caesarean delivery or attempting a VBAC. (Learning Objective 9)

A.    In order to ensure that Laura has the facts to assist her in her decision, explain the risks of a repeat caesarean delivery.

B.    Laura can’t understand why more women don’t want to try a VBAC delivery. Discuss the possible reasons for this.

C.    Describe the management of care for a woman attempting a VBAC delivery.

Homework Answers

Answer #1

A . Risks of a repeat caesarian delivery are

- Heavy bleeding

- Bowel and bladder inuries : The risk is due to bands of scar like tissue developed after a previous C- section binding the bladder to the utreus. Postoperative adhesions can also cause small bowel obstruction.

- Problems with placenta : Placenta implanting too deeply into the uterine wall or the placenta partially or completley covering the opening of the cervix.

B. Some risks of a VBAC are


Blood loss

Risk of rupture of the uterus , it may harm both mother and foetus.

C. Should deliver in a hospital settings with facilities for neonatal resuscitation and caesarian section.

Avoid induction of labour . The risk of uterine rupure is less with mechanical techniques.

After 39 weeks an elective C-section is recommended.

Continuous CTG (cardiotocography ) monitoring is to monitor fetal heartbeat and uterine contractions .

Know the answer?
Your Answer:

Post as a guest

Your Name:

What's your source?

Earn Coins

Coins can be redeemed for fabulous gifts.

Not the answer you're looking for?
Ask your own homework help question
Similar Questions
Need Online Homework Help?

Get Answers For Free
Most questions answered within 1 hours.

Ask a Question