13 - Obs - Labour - Fetal monitoring in labour Flashcards
1
Q
Modes of fetal injury - 5
A
inflam/infec meconium aspiration hypoxia blood loss trauma
2
Q
Fetal distress = ?
A
hypoxia that may result in fetal damage/death if not reversed or fetus delivered urgently
3
Q
High risk situations
- fetal conditions - 2 things
- medical complx - 2 things
- intrapartum factors - ? labours, presence of ?, maternal ?
A
Iugr, prolonged pregnancy DM, preeclampsia long meconium fever
4
Q
Monitoring methods - intermittent ?, inspection for ?
A
auscultation
meconium
5
Q
Monitoring methods - if intermittent auscultation abnormal or ? ? situation -> CTG
- normal features - rate?, ?, ? >5bpm
- abnormal features - ? or ? cardias, ?, reduced ?
if CTG abnormal -> ?, ? ? sample
A
high risk 110-160 accels variability brady/tachy decels variability
resuscitate
fetal blood
6
Q
Intervention - if ? ? sample abnormal - delivery by quickest route.
CS if ? Instrumental if?
A
fetal blood
first stage
second stage if criteria met
