13 - Obs - Labour - Slow progress Flashcards Preview

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Flashcards in 13 - Obs - Labour - Slow progress Deck (5):
1

definitions - slow labour is ?

progress slower than 1cm/h after latent phase (3cm)

2

definitions - prolonged labour is ?

>12h duration after latent phase

3

Common in ? women and rare in ? women

nulliparous
multiparous

4

Aetiology

Powers - 1 cause

Passage - ?-pelvic disproportion, rarely ? resistance (if induction)

Passenger - fetal ?, disorder of ? (eg O-? or O-?), disorder of ? (Eg brow)

inefficient uterine action

cephalo
cervical

size
rotation
T, P
flexion

5

MGMT - General - wait if ? ? is wanted, ?, improve support
-Nulliparous - induction with ? or give ?
-Multiparous - induction with ? or give ? only if ?/? excluded
-if this fails - ? ? if first stage, ? ? if second stage

natural labour
mobilize
amniotomy
oxytocin
amniotomy
oxytocin
malpresx/malposition
CS
instrumental delivery

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