13 - Obs - Labour - Slow progress Flashcards Preview

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

definitions - slow labour is ?

A

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

2
Q

definitions - prolonged labour is ?

A

> 12h duration after latent phase

3
Q

Common in ? women and rare in ? women

A

nulliparous

multiparous

4
Q

Aetiology

Powers - 1 cause

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

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

A

inefficient uterine action

cephalo
cervical

size
rotation
T, P
flexion

5
Q

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

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