Induction & Augmentation Flashcards Preview

Jason's MD3 Women's > Induction & Augmentation > Flashcards

Flashcards in Induction & Augmentation Deck (24):
1

Reasons to induce?

Preeclampsia
Diabetes - depends on control
Post maturity
Twins
FDIU
Social
Poor past obstetric history
Compromise

2

Risk after membranes ruptured?

Chorioamnionitis

3

Placenta abrupt ion presents?

Bleeding

4

Reasons for significant abnormality termination?

Renal a genesis
Severe heart disease
Anencephaly

5

Reasons against induction?

Prematurity
fetal growth restriction
Fetal compromise
Breech
Placenta Pravin
Previous Caesarian section
Transverse lie
Pelvis disproportion eg. Pelvic fractures PMHx

6

Methods to induce?

Prostin E2
ARM
Syntocinon

7

When should not use Prostin E2?

-Previous uterine scar
-ruptured membranes

8

Vaginal after C-section?

Trial by scar
DON'T INDUCE

9

ARM?

Amniotomy
Artificial Rupture of membranes

10

When do amniotomy? When not too.

Only when head is close to cervix.
If it's too far, all fluid will rush out and maybe take the cord with it. Cord prolapse

11

Dosage of Syntocinon?

1-32 milli-units/ml

12

Side effects of Syntocinon?

Nausea, vomiting water intoxication and hyponatraemia

13

Complications of induction?

Cord prolapse
Uterine hyperstimulation - rupture
Fetal distress
May fail to induce labour - may need to C-section. (Not rare)

14

Kielland's forceps for?

Help rotation, not used anymore.

15

Baby is engaged means?

Head is at the level of the ischial spines

16

4 kinds of instrumental delivery

(High)-don't really do it, do a C-section
Mid
Low (easier)
Outlet (easiest)

17

Why do instrumental delivery?

2nd stage long
Exhaustion
Effective epidural
Malposition of presenting part
Fetal distress

18

Frankenhauser plexus?

Pelvic floor nerve bundle, primal need to push and expulsive effort

19

Instrumental delivery needs?

Cephalic presentation
Fully dilated cervix
Analgesia Epidural or spinal
Catheter passed - empty bladder
May need episiotomy

20

Forceps delivery may need?

Episiotomy

21

Ventouse suction need episiotomy?

Not necessarily

22

When do Nevile Barnes forceps used?

From anterior position

23

Ventouse complications?

Circular bruise
Subaponeurotic bleeding, intra cerebral bleeding

24

Forceps complications?

Bruising
Facial nerve palsy
Intracerebral bleed
C-sp damage