APGAR // Nomral Prgenancy & Antenatal care // Labour Flashcards
When do you perform APGAR?
1, 5, 10 mins post birth
What score is ‘normal’ ?
7-9
Why might the baby have a low APGAR score?
Difficult birth
C-section
Fluid in baby’s airway
What is uncontrolled pre-eclampsia
Multisystem disorder characterised by:
- Increased BP
- Proteinuria
What weeks are in the second trimester?
13-27 weeks
What are the 3 main things mothers should avoid during pregnancy?
Listeria containing foods (blue cheese, unpasteurised milk)
Vit A - teratogenic
Warfarin
Why should warfarin be avoided in pregnancy?
Affects limb development
How does a baby normally positioned during birth?
Cephalic (head first)
What ways do you NOT want the baby positioned during birth
Breech (bum first) - potential head entrapment
Transverse (lying sideward)
Under what circumstances would a woman be offered an amniocentesis?
Women who are at a higher risk of giving birth to a baby with Down’s Syndrome:
- If they are older (40+)
- Family history of Down’s Syndrome
How much weight will a baby lose straight after birth?
Up to 10% (anything greater is ABNORMAL)
What Vitamin is offered to babies straight after birth?
Why is this?
Vit K
Babies have an immature liver - leads to decreased levels of vit K dependent clotting factor.
So prevents a haemorrhagic disease
What are the stages of labour?
Stage 1: Regular uterine contractions –> Full dilation of cervix
Stage 2: Full dilation of cervix –> Delivery of baby
Stage 3: Delivery of baby –> Delivery of placenta
If stage 3 has taken longer than 30 mins, what risk does this pose to the mother?
Risk of post partum haemorrhage (PPH)
4 T’s of PPH?
Trauma
Tissue (retention of placenta)
Thrombin
Tone (loss of tone in uterus)
