labour

Question 1

delays in labour

Answer 1

powers- contractions inadequate +/- incoordinate – the most common

Passage- pelvis, bladder, rectum -bony problems etc.

passenger- sie position

options to treat0
augmentation of labour
artificial rupture of membranes
judicious use of oxytocin– to get to where they whould be in labour

2nd stage- assisted vaginal delivery (forceps, ventouse)

Question 2

management of 3rd tage of labour

Answer 2

im syntometrine - given when ant shoulder delivered

left hand above pubic symphasis
controlled cord traction

Question 3

what is the puerperium

Answer 3

time from delivery to 42 days post natal

changes
physiologically, hormally, structurally

Question 4

what not to give if breastfeeding

Answer 4

COCP- oestrogen dries up the milk

Question 5

causes of primary and 2nd pph

Answer 5

primary- uterine atony, rpoc, trauma

TONE, Tissue, TRAUMa, Thrombin.

2’- endometritis, rpoc. - infection will be the distinguisher.

Question 6

biggest risk of clotting after birth

Answer 6

still increaced clotting factors for 6 weeks post delivery.

Question 7

baby length, weight and how it doubles and triples

Answer 7

3.3kg
50 cm

10kgs at 1 year - trebled
3 months doubled
75 cm end of first year

2 years - half adult height

Question 8

hormonal control of growth

Answer 8

insulin prenatal and immediately post natal

thyroid a bit pre natally then a bit post

GH for most of childhoot

sex in puberty