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Flashcards in Normal Labour Deck (24):
1

Where is oxytocin synthesised in labour?

Decidual and extrembryonic tissue

2

What does oxytocin do in labour?

Initiates and sustains contractions

3

A women is 4cm dilated and is experiencing mild contractions. What stage of labour is she in?

Latent first stage

4

A women in 8cm dilated. What stage of labour is she in?

Active first stage

5

After how many hours is labour considered prolonged in a nulliparous women?

3 hours with analgesia
2 hours without

6

After how many hours is labour considered prolonged in a multiparous women?

2 hours with analgesia
1 hour without

7

In the third stage of labour how long would you wait before preparing from removal of the placenta under GA?

1 hour

8

Is active or expectant management of the third stage of labour preferred for reducing the risk of PPH?

Active

9

Describe active management of the third stage of labour?

Oxytocin 10 units
Ergometrne 1ml
Cold clamping and cutting
Controlled cord traction
Bladder emptying

10

What cervical changes accompany true labour contractions?

Softening
Effacement
Dilataion

11

Where is the pacemaker of contractions?

Tubal ostia

12

What is a normal number of contractions in active labour?

3 - 4 in 10 minutes

13

What is the normal position and lie of the fetus at labour?

Longitudinal lie
Cephalic presentation with vertex as presenting part
Occiptio anterior (though head engages in occipito transverse)

14

How often should vaginal examinations be performed in normal labour?

4 hourly

15

What is crowning?

Appearance of a large segment od fetal head at the introitus

16

What 5 things are recorded in the bishops score?

Dilation
Effacement
Station
Cervical consistency
Cervix position

17

What is normal blood loss in labour?

Less than 500ml

18

What 3 signs indicate that separation of the placenta has occured?

Uterus contracts, hardens and rises
Umbilical cord lengthens
Gush of blood

19

How long after delivery does expulsion of the placenta normally occur?

5 - 10 minutes (considered normal after 30 mins

20

How long does it take for the tissues to recover to a non pregnant state after delivery?

6 weeks

21

What is lochia?

Vaginal discharge after delivery containing blood, mucus and endometrial castings

22

How long after delivery until the fundal height is at the umbilicus?

2 weeks

23

How long does it take for the endometrium to regenerate?

End of 1 week

24

What initiates lactation?

Decrease in oestrogen and progesterone