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Flashcards in Abnormal Labour Deck (34)
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1

What is the normal position of the vertex at the pelvic inlet?

Occipitotransverse

2

What is the normal position of the vertex at the pelvic outlet?

Occipitoanterior

3

How often should you perform a PV exam to assess progress during labour?

Every 4 hours

4

What is the name of the record that shows fetal HR, amniotic fluid, cervix dilation, descent, contractions, urinalysis and medications during labour?

Partogram

5

What is an abnormal fetal HR during labour

Less than 100
More than 180

6

How often should fetal HR be assessed during stage 1 of labour?

Every 15 minutes + after a contraction

NOT SURE IF THIS IS TRUE??

7

How often should fetal HR be assessed during stage 2 of labour?

Every 5min + after a contraction

8

What complication of IOL can prevent the progression of labour?

Hyperstimulation

9

Give examples of malpositions

Occipito-posterior
R / L occipito-transverse

10

What lie is normal? Which lies are malpresentation?

Normal longitudinal
Malpresentation transverse and oblique

11

What signifies failure to progress in stage 1 of labour?

Less than 2 cm dilated in 4 hours

12

What shape of pelvis is a risk factor for failure to progress?

Android

13

What signifies failure to progress in stage 2 of labour in a prim mother? And what if they've had an epidural?

Longer than 2 hours
Longer than 3 hours if had epidural

14

What signifies failure to progress in stage 2 of labour if this isn't the mother's birth?

Longer than 1 hour

15

What is the active Mx of failure to progress in labour for a women with week contractions? And when is this contraindicated?

Syntocinon
CI malposition

16

Molding, anuria, haematuria, and vulval edema are all signs of what in labour?

Obstruction eg. breech

17

In shoulder _____ the _____ shoulder is stuck under the ______

In shoulder DYSTOCIA the ANTERIOR shoulder is stuck under the PUBIC SYMPHYSIS

18

What is the Mx of cord prolapse?

Emergency C-section

19

Give 6 examples of pain Mx in labour

TENS
Entonox
Paracetamol
Water bath
IM diamorphine
Regional anaesthetic

20

What are the main risks of an epidural?

Prolongs stage 2 of labour
Hypotension
Retention

(Also HA, sore back, others)

21

What are the 2 incision options in a ceaserean?

Lower segment and abdominal

22

What are the 2 methods of operative vaginal delivery

Forceps and ventouse

23

How would fetal distress present?

Fetal hypoxia
Meconium
Abnormal fetal HR

24

What investigation should be done if there are signs of fetal distress e.g. meconium?

Fetal blood sampling
CTG

25

What is given as prophylaxis of PPH during the 3rd stage of labour?

IM syntocinon or IV syntometrine

26

What are the 2 ways of classifying PPH?

Minor (500-1000ml) v major (>100ml or shock)
Primary v secondary

27

When is primary PPH?

Less than 24hr post delivery

28

When is secondary PPH?

24hr-6wk post delivery

29

What are the causes of PPH?

Tone, tissue, thrombin, trauma

Figure out what these mean

30

What is the commonest cause of PPH?

Atonic uterus