Health & Medical Children & Kid Health

Intrapartum Nursing Caring of Multiples

Intrapartum Nursing Caring of Multiples

Abstract and Introduction

Abstract


Labor and delivery units are similar to emergency departments in health care facilities; one never knows who will walk through the door. Being prepared for the unexpected is critical to positive neonatal and maternal outcomes. Expertise as a labor and delivery registered nurse is paramount when providing intrapartum management for twins and higher order multiples. The significance of acuity related to intrapartum management and impact of twins and higher order multiples on labor and delivery units in case studies provide insightful, evidence based, and critical nursing assessments to provide safe outcomes for twins and mothers.

Introduction


Inpatient labor and delivery (L & D) units should be considered emergency departments for patients. Many hospitals have triage rooms to evaluate patients who arrive on the L & D unit for reasons such as no prenatal care, labor pain, vaginal bleeding, preterm labor, or imminent delivery. Assessment of the fetus would include fetal monitoring, a nonstress test, and ultrasound. Registered nurses working on L & D units should have experience in providing safe and effective intrapartum management to patients in a wide variety of circumstances. Patient safety is paramount when caring for a mother and her infants.

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