Prolonged pregnancy

Question 1

define prolonged preg

Answer 1

> 42 weeks

Question 2

what are the 2 main hormones involved in initiation of labour

Answer 2

oxytocin and PG

Question 3

define premature

Answer 3

<37 weeks

Question 4

uterine myometrial ____ __________ increase closer to ____ to allow myometrium to act as one ________ __________

Answer 4

gap junctions, term, coordinated muscle

Question 5

what steroid hormones can inhibit labour/birth?

Answer 5

adrenaline and cortisol

Question 6

what effects can castor oil, popcorn or curry have (tales that they can help IOL but..)

Answer 6

diarrhoea

Question 7

what affects length of pregnancy?

Answer 7

family history length of preg including partners family hx

Question 8

when does risk of IUFD increase?

Answer 8

after 42K

Question 9

list methods of fetal surveillance

Answer 9

fetal movement charts, non stress test CTG, amniotic fluid volume estimation, biophysical profile, doppler US of fetal and uteroplacental circulation

Question 10

why can diminished placental function lead to oligohydramnios

Answer 10

diminished placental function causes selective perfusion of brain and heart leading to reduced perfusion of kidneys thus less production of urine = oligohydramnios

Question 11

what type of movements are assoc with poor tone?

Answer 11

rolling movements

Question 12

what score on biophysical profile indicates need for birth

Answer 12

4 or less