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Patients may have options of delivering at a hospital, birthing center, or at home Listeriosis is more common during pregnancy and is caused by ingestion of a large inoculum of listeria monocytogenes in food. Hospital delivery has the advantage of having clinical staff and equipment immediately available if unexpected maternal and fetal complications occur during labor and delivery (eg, placental abruption, shoulder dystocia, need for emergency cesarean delivery, fetal or neonatal.
Preexisting maternal disease or risk factors for obstetric complications or maternal or fetal issues that present during pregnancy are managed, as appropriate Topical agents do not decrease risk of infection. Prenatal care also includes counseling about health promotion and anticipatory guidance to prepare patients for labor, delivery, and newborn care.
The management of spontaneous vaginal delivery requires monitoring of maternal and fetal safety
Appropriate clinical personnel and equipment should be available Patients may be accompanied by their partner or other support person or a doula. Obstetric and gynecologic history are often considered a distinct part of the medical history This history includes past medical history related to reproductive and overall gynecologic health, including pregnancies, medical conditions, medications, and procedures.
Analgesia and anesthesia options for labor and delivery include neuraxial, locoregional, parenteral analgesia, and general anesthesia Neuraxial methods (eg, epidural or spinal anesthesia) are typically preferred (1). Maternal hemodynamic status may need to be supported with fluid resuscitation or blood product transfusion The neonatal care team should be informed when alternative delivery methods are to be used so they can be ready if neonatal resuscitation is required.
The umbilical stump should be kept clean and dry
Other care varies depending on the birth setting In a hospital delivery (or properly managed home birth), where the cord is clamped and cut aseptically, dry cord care or cleansing with soap and water is adequate
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