amk 11/03/23 Flashcards
(13 cards)
latent 1st stage
slow dilation up to 4cm
active 1st stage
rapid dilation up to 10cm
no slower than 1cm every 2hr controlled by PGF2a and oestrogens
stage 2 passive
foetus into birth canal
active 2nd pahse
foetus contracting stimualte delivery of baby
cotnrolled by oxytocin adn PGF2a in positive feedback loop
stage 3
delivery of placenta should less than 30mins nd less than 500ml blood loss
35yr 28 weeks , placenta vessels overlying the OS what is most likely diagnosis
vasa praevia
antepartum haemorrhage
before brith after 24weeks
ix for haemorrhage
FBC, UandE , LFTs and group and save, kleihauer test ( rh) , coag screen
placenta peaevia and not bleeding
can offer steriods
classic c section - trasnverse lie
what problems later on
hernia
uterine rupture
low vertericla incision for
breech
low transverse incision
normal and the most used
amniotic fluid embolism - massive mast cell reaction what cna we test for
tryptase
anaphylactic shock mixed with distrubtuive shock