Labor and Delivery Triage

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  • The OB One-Liner: “This is a _ yr old G_ P_ @_ wks GA here for ____.”
    Ex: This is a 34yo G3P2002 @ 38wks3days GA here for contractions
  • Triage: 4 essential questions to ask every pregnant woman in triage
    Contractions, leaking fluid, vaginal bleeding, fetal movement
  • What is labor? Cervical change and contractions
  • Evaluate for ROM: Pooling, nitrazine (pH), ferning.
  • Vaginal bleeding—when do we care? 2nd or 3rd trimester worry about placenta: abruption, previa, vasa previa
  • DFM: NSTs, BPPs, Kick counts