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OB SIMULATION ORIENTATION

OB SIMULATION ORIENTATION. BUBBLE LE. B: Background and Breasts U: Uterus B: Bladder B: Bowels L: LOF/Lochia E: Effacement/Episiotomy L: Lower Extremities E: Emotional State. Background. EDD/EDC Gestational age Term – 37 weeks to 40 weeks Late term – 40 weeks to 416/7 weeks

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OB SIMULATION ORIENTATION

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  1. OB SIMULATION ORIENTATION

  2. BUBBLE LE • B: Background and Breasts • U: Uterus • B: Bladder • B: Bowels • L: LOF/Lochia • E: Effacement/Episiotomy • L: Lower Extremities • E: Emotional State

  3. Background • EDD/EDC • Gestational age • Term – 37 weeks to 40 weeks • Late term – 40 weeks to 416/7 weeks • Post term – 42 weeks or greater • Late preterm – 34 weeks to 36 6/7 • Preterm – Less than 37 weeks • Viability – 22 weeks to 25 weeks

  4. Background • G/P (TPAL) • Gravity – Total number of pregnancies including the current pregnancy • Parity- Number of pregnancies that have reached 20 weeks gestation Term deliveries Preterm deliveries Abortions or Miscarriages Living Children

  5. Background • Prenatal History • Complications • Infectious disease testing • GBS status is especially relevant to L&D clinical experience

  6. Breasts • What is the mothers plan for feeding her infant • Baby Friendly initiative • Reasons some women can not breastfeed • Reasons women should not breastfeed

  7. Uterus • True labor? • Tocotransducer • Placed on the fundus of the uterus

  8. Uterus • Contractions • Duration • Frequency • Intensity

  9. Uterus • Fetal heart monitor

  10. Uterus • Leopold’s Maneuver

  11. Uterus • Fetal heart rate • Fetal acid/base balance • Fetal neurologic function

  12. Uterus • Baseline heart rate • 110-160 bpm

  13. Uterus • Variability • Fluctuations in fetal heart rate baseline • Four basic types of variability • Absent • Minimal • Moderate • Marked

  14. Uterus • Absent variability

  15. Uterus • Minimal variability • 1-5 bpm variability in baseline heart rate

  16. Uterus • Moderate variability • 6-25 bpm variability in fetal heart rate

  17. Uterus • Marked variability • > 25 bpm variability in fetal heart rate

  18. Uterus • V • E • A • L • C • H • O • P

  19. Uterus • Variable Decelerations • C: Cord Compression

  20. Uterus • Early Decelerations • Head Compression

  21. Uterus • Accelerations • OK 

  22. Uterus • Late Decelerations • Placental Insufficiency

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