Introduction

Figure 19.1 Support for High-Risk Birth. This care team is prepared for the high-risk delivery. (credit: “Surrogate parents attending birth” by Staff Sgt. Delia Martinez/Wikimedia Commons, Public Domain)

Chapter Outline

19.1 Labor Dystocia

19.2 Medical Interventions During Labor

19.3 Obstetrical Conditions Affecting Labor and Birth

19.4 Preexisting Conditions of the Pregnant Person Placing the Delivery at Risk

19.5 Interventions During Birth

19.6 Cesarean Section

19.7 Obstetrical Emergencies

19.8 Complications of the Second Stage of Labor

19.9 Complications in the Third Stage of Labor

19.10 Monitoring the Person in Labor for Complications Developing During the Process of Labor and Birth

The majority of labors and births are uncomplicated. However, specific complications can occur at any stage. The pregnant person could have a preexisting condition or develop a condition during the pregnancy. Labor could also become complicated at any point, even after an uncomplicated pregnancy. The nurse is aware of common complications that can arise and is ready to intervene when necessary. Complications can occur that affect the pregnant person and the fetus. Ensuring adequate oxygenation of the fetus and the well-being of the pregnant person is of highest priority. The safety of both laboring person and fetus is the responsibility of the health-care team.