Management of Labor

[See Management of Signs/Symptoms of Preterm Labor algorithm and annotations]

[See VBAC algorithm and annotation]

[See Failure to Progress in Obstetrical Labor algorithm and annotations]

[See Intrapartum Fetal Heart Rate Management algorithm and annotations]

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Source: Institute for Clinical Systems Improvement (ICSI). Management of labor. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2007 Mar. 72 p. Management of Labor Pregnant patient greater than 20 weeks with symptoms of labor A = Annotation Triage for symptoms of labor. A Less than 37 weeks? See Management of Signs/Symptoms of Preterm Labor algorithm and annotations Previous uterine incision? Is patient in labor? A *Patient education for reassurance. *Observe and re-evaluate. *Consider labor induction if appropriate. See VBAC algorithm and annotation Subsequent labor? Intrapartum care. *Cervical exam. *Supportive care. *Adequate pain relief. *Perform amniotomy if needed unless contraindicated. *Monitoring of fetal heart rate. *Nurse ausculatory monitoring or continuous EFM-ext. A Out of guideline Any concerns or complications? A Normal vaginal delivery Management of third stage of labor. A Is labor not progressing? Is fetal heart rate a concern? Other *Out of guideline See Failure to Progress in Obstetrical Labor algorithm and annotations See Intrapartum Fetal Heart Rate Management algorithm and annotations All copyrights are reserved by the Institute for Clinical Systems Improvement, Inc.