Labor

Question 1

Normal labour:
Lie
Presentation
Presenting part
Position
Denominator

Answer 1

Longitudinal
Cephalic
Vertex
Left occipito-transverse (LOT)
Occiput

Question 2

Cardinal movements

Answer 2

9 (7✓)
Engagement
Descent
Flexion
Internal rotation
Crowning x
Extension
Restitution x
External rotation
Expulsion

Question 3

Indications of IOL :

Answer 3

1. PIH
2. PROM
3. Preterm PROM
4. Post term
5. Abruptio placenta
6. Chorioamnionitis
7. Oligohydramnios
8. Oligohydramnios + IUGR
9. Gestation diabetes
10. Rh isoimmunization

Question 4

Drugs for IOL

Answer 4

1. Prostaglandins (mc)
   PGE1( Misoprost ) : 25mcg 4 hrly max-6 dose
   PGE2 ( Dinoprost ) : 0.5 mg 6 hrly max-4 dose cerviprem gel
2. Cervidil :
3. Mifepristone
4. Oxytocin

Question 5

Labour def

Answer 5

Series of events that takes place in genital organs in an effort to expel the viable product of conception out of the womb through vagina into the outer world.

Question 6

Normal labour criteria

Answer 6

1. Spontaneous in onset & at term
2. With vertex presentation
3. Without undue prolongation
4. Natural termination with minimum efforts
5. Without any complications

Question 7

Stages of labor

Answer 7

1. Onset of true labor pains
   Full dilatation of Cx(10cm)
2. Full dilatation of Cx
   Expulsion of fetus via birth canal
3. Expulsion of fetus
   Expulsion of placenta
4. Stage of observation 1 hr