Abnormal Labour Flashcards
Give some indications for the induction of labour.
- diabetes
- if 7 days past due date
- maternal health problems
- fetal concern
What is the Bishop’s score?
- a score used to clinically assess the cervix
Which two methods can be used to ripen the cervix?
- vaginal prostaglandin pessaries
- Cook balloon
Name a risk associated with using prostaglandins to ripen the cervix.
- they may cause hyper-stimulation which can stress the baby
Define an amniotomy.
- artificial rupture of fetal membranes, usually using an amniohook
What is used to achieve adequate contractions after an amniotomy?
- IV oxytocin
What may happen if there is stimulation of an obstructed labour?
- rupture of the uterus
Define cephalopelvic disproportion.
- fetal head is too large to negotiate the maternal pelvis
Define malpresentation.
- any presentations where the fetus is not longitudinal vertex
Define malposition.
- the fetal head is not OA and a ‘relative CPD’ occurs
True or False
Malpresentation is more common than malposition
False
Malposition is more common
Why is a cord prolapse an obstetric emergency?
- the cord will go into spasm as it makes contact with the cold air
- this halts oxygen supply to the baby
Which factors determine fetal well-being during labour?
- auscultation of the fetal heart
- CTG
- fetal blood sampling
- fetal ECG
When would you take a fetal blood sample and why?
- where CTG is abnormal
- measures pH and base excess
List risks associated with a Caesarean section.
- infection
- bleeding
- visceral injury
- venous thromboembolism
