10: Normal Labor & Delivery

Question 1

labor

Answer 1

progressive cervical dilation due to regular uterine contractions

Question 2

braxton hicks contractions

Answer 2

irregular contractions without cervical change, AKA false labor

Question 3

classic female pelvis shape

Answer 3

gynecoid

Question 4

two pelvic shapes that are good for delivery and two that are poor for delivery

Answer 4

good: gynecoid, anthropoid
poor: android, platypoid

Question 5

what position is the fetal head in with the four different types of pelvis

Answer 5

1. gynecoid: generally in OA position
2. anthropoid: OP position
3. android: OP position
4. platypelloid: transverse diameter

Question 6

diagonal conjugate of the pelvis + adequate measurement for delivery

Answer 6

inferior portion of pubic symphysis -> sacral promontory (11.5cm+ is adequate)

Question 7

obstetric conjugate of the pelvis

Answer 7

diagonal conjugate - 2cm; narrowest distance through which the fetal head must pass

Question 8

two things to assess when measuring pelvic outlet + adequate measurements of them

Answer 8

1. between ischial tuberosities (8.5+ cm)

2. infrapubic angle (angles at which inferior pubic rami meet) (>90 degrees)

Question 9

four maneuvers of the Leopold maneuver

Answer 9

1. palpate fundus: feel for head vs buttocks
2. palpate for spine
3. palpate what is presenting in pelvis
4. palpate for cephalic prominence

Question 10

indications of episiotomy

Answer 10

likelihood of spontaneous lac is high

Question 11

modified ritgen maneuver

Answer 11

fingers of right hand extend head while counterpressur is applied to occiput by left hand

Question 12

induction vs augmentation of labor

Answer 12

1. induction: starting labor artificially

2. augmentation: labor has already started, but artificially stimulating it