Abnormal labour and delivery Flashcards Preview

Stage 3: EJR - Obstetrics > Abnormal labour and delivery > Flashcards

Flashcards in Abnormal labour and delivery Deck (10):
1

What may cause fever in labour

-chorioamnionitis
-epidural
-prolonged labour

2

How to manage inefficient uterine action

-amniotomy
-oxytocin

3

How to manage hyperactive uterine action

-treat root cause
-give tocolytic if no abruption
-C section often indicated due to foetal distress

4

What may cause hyperactive uterine action

-placental abruption
-too much oxytocin
-prostaglandins to induce labour

5

What does unstable lie mean

Baby may lie longitudinal then suddenly oblique then transverse

6

Foetus mechanism of labour

1. Descent
2. Flexion
3. Internal rotation
4. Crowning
5. Extension
6. Restitution
7. Internal rotation of shoulders
8. Explulsion (external rotation of head, shoulders & torso delivered by lateral flexion)

7

Most common malrotation of foetus

Occipito-posterior position

8

List the following foetal malrotations from largest diameter to smallest

-Brow
-Face
-Occipito-transverse
-Occipito-posterior

9

List the degrees of involvement in the 4 types of perineal tears

• 1st degree: minor damage to fourchette
• 2nd degree: perineal muscle
• 3rd degree: anal sphincter
• 4th degree: anal mucosa/ rectal tissue

10

An episiotomy is equivalent to what degree of perineal trauma

2nd degree