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Flashcards in OB Procedures Deck (26):
1

purpose of an amniotomy

-enables elctronic fetal monitoring

2

what is the first thing we do after performing amniotomy

***assess FHR***

3

risks of performing amniotomy

-prolapse and compression of the cord
-risk of infec incr the longer membranes have been ruptured
-abruptio placenta

4

what is abruptio placenta

when the placenta pulls apart from the wall of the uterus

5

indications for performing an amniotomy

-fetal compromise (IUGR, Rh incompatibility)
-SROM near term
- post term preg
- chorioamniotitis
- HTN a/w preg
-maternal medical conditions (pre-eclampsia)
-fetal death

6

def chorioamniotitis

infec of the chorion

7

when the AFI is low, what does that indicate?

the placenta is not functioning at its max capacity anymore

8

contraindications for amniotomy

-placenta previa
-vasa previa
-abnormal presentation
- cord prolapse
-prev uterine surgery
- non reassuring FHR patterns

9

why is previous uterine surgery contraindicated for amniotomy

risk of there being a weakness in the uterine wall

10

other methods of induction/augmentation of labor

-cervical ripening
-oxytocin admin

11

what is cervadil and how does it work

-looks like a tampon
- mom admitted to antepartum and monitored overnight
- ripens cervix

12

what natural material contains prostaglandins

sperm

13

how does a transcervical cath work?

-foley cath and open up balloon

14

what should be done before inserting transcervical cath

admin pain meds

15

how is oxytocin administered for induction of labor

-diluted as an isotonic solution and given as a secondary infusion

16

when can oxytocin not be given and why

if the cervix is not ripened
- baby runs the risk of going into distress

17

def external version

promotes vaginal birth by changing fetal presentation from a breech or transverse lie to a cephalic lie

18

def internal version

changing the position of a second twin after the birth of a first twin

19

what meds is mom given before external version

tocolytics

20

what is immediately done following external version

assess FHR

21

what risks are a/w external version

- cord prolapse
- premature labor due to softened cervix
-nuchal cord

22

maternal trauma a/w operative delivery

- vaginal wall laceration
- hematoma

23

infant trauma a/w operative delivery

ecchymosis
lacerations
abrasions
facial nerve injury/ auditory nerve injury
intracranial hemorrhage
CP - if severe

24

what two methods care considered operative vaginal birth

-forceps
- vacuum extractor

25

benefits of giving birth w/ an intact perineum (episiotomy)

less blood loss
less pain
earlier resumption of comfortable intercourse PP

26

what is the preferred uterine incision and why

low transverse
- less likely to rupture in a subsequent preg