Step-by-step explanation:
The desired outcome for the intrapartum client during the third stage of labor, which involves the delivery of the placenta, is to ensure a safe and uncomplicated process with minimal blood loss and no retained placental tissue. Key goals include:
1. Gentle and gradual detachment of the placenta from the uterine wall.
2. Placenta delivered within 30 minutes of birth.
3. Monitoring and appropriate management of maternal blood loss, with less than 500ml for a vaginal birth considered normal.
4. Prevention of maternal infections.
5. Comprehensive assessment of the placenta to ensure it is complete and intact, with no retained fragments in the uterus.
6. Close monitoring of the mother's vital signs, uterine contraction, and fundus during and after the third stage.
7. Administration of uterotonic agents, like oxytocin, to prevent postpartum hemorrhage (active management of the third stage of labor), if required.
8. Optimal pain management and support for the mother during this stage.
Achieving these outcomes ensures the well-being of both the mother and infant during and after the third stage of labor.