Labor mechanism

Question 1

How is fetus assessed?

Answer 1

FHR pattern
CTG

Question 2

How is maternal status assessed?

Answer 2

BP
PR
T

Question 3

What is tachysystole (contractions) defined as?

Answer 3

> 5 contractions/ 10 mins

Question 4

What are the 3 Ps of labor?

Answer 4

1. Power
2. Passage
3. Passenger

Question 5

3Ps: Power

How long is the contractions usually lasting?

Answer 5

30-60secs

Question 6

Passage

What are the 4 pelvis types?

Answer 6

Gynecoid
Anthropoid
android
Platypelloid

Question 7

Passenger

What size of fetus is macrosomic?

Answer 7

4KG/ 4000g

Question 8

What are the 3 signs of separation of placenta during the 3rd stage of labor?

Answer 8

1. Uterus rises; from circular to globular
2. Increase (gush) of blood from vagina
3. Lengthening of cord

Question 9

What is the management in 3rd stage labor?

Answer 9

1. Routine use of syntometrine (uterotonic)
2. Early cord clamping and cut
3. Controlled cord traction

Question 10

What are the types of pain control in labor?

Systemic (3)
Regional analgesic techniques (3)

Answer 10

Systemic: IV, IM, Inhalational

Regional: Epidurals, spinals and combined spinal-epidural (CSE)

Question 11

Epidurals.

Location?
LA used?

Answer 11

L2-L5

BUPIVACAINE 0.25%

Question 12

Spinal

Usually given as?
The site injected? (layers)

Answer 12

CSE
Intrathecally (opioid)