labour Flashcards
(17 cards)
define labour?
o
define 1st stage of labour
the initiation and progression of painful regular uterine contractions & reaching cervical dilation of 10 cm
define 2nd stage of labour?
10cm cervical dilation to expulsion of the foetus
define 3rd stage of labour
delivery of the foetus
duratiion of 1st stage of labour for
a) primip
b) multip
a) 12-15 hours
b) 7.5 hours
how regular are the contractions in first stage of laboru?
3-4 in 10 minutes
3 signs you are in first stage of labour?
- rupture of membranes
- ‘show’ : passage of blood/mucus
- regular painful contractions progressing to cervical dilatation
3 P complications of 1st stage of labour?
P - Passenger: fetal malpresentation/cephalopelvic disproportion
P - Passage: fibroids/cervical stenosis
P - POwer: primary uterine interia
3 interventions in 1st stage of labour
a) Prostaglandin gel for initiating labout
b) artificial rupture of membranes
c) oxytocin for contractions
duration of 2nd stage of labour for primip & multip?
primi: 45 mins to 2 hours
multip: 15 to 45 mins
2 interventions in 2nd stage of labour?
- c section
- instrumental delivery
duration of 3rd stage of labour?
5 to 10 minutes with syntometrine
30 mins to an hour without
what can be given in active 3rd stage of labour?
syntometrine
3 fetal orientations in “LIE”
- longitudinal
- transverse
- oblique
2 types of fetal PRESENTATION
Cephalic
or
Breech
what is the most common fetal POSITION
LOA
left occipito anterior
name the 6 layers between the superficial fascia & uterus that are dissected in a lower segment caesarean section
- deep fascia
- anterior rectus sheath
- rectus abdominis muscle
- transversalis fascia
- extraperitoneal connective tissue
- peritoneum
