LAST STAGE
- Last stage of labor begins with delivery of placenta and ends with postpartum stabilization
- Duration: usually 1-2 hours after delivery (primipara or multipara)
- Blood pressure returns to the pre-labor level
- Pulse is slightly lower than during labor
- Fundus remains contracted, in the midline, 1-2 fingerbeadths below the umbilicus
Nursing Interventions:
- Maternal assessment every 15 minutes for 1 hours, every 30 minutes for 1 hours, and hourly for 2 hours
- Administer oxytocin product if ordered
- Assess fundus every 15 minutes, if soft, massage with side of hand
- Assess lochia, checking peripad and under lower back
- Assess bladder for distention because full bladder will prevent contractions and increase bleeding
- Assess episiotomy for intactness and possible bleeding
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