13 - Obs - Labour - Slow progress

Question 1

definitions - slow labour is ?

Answer 1

progress slower than 1cm/h after latent phase (3cm)

Question 2

definitions - prolonged labour is ?

Answer 2

> 12h duration after latent phase

Question 3

Common in ? women and rare in ? women

Answer 3

nulliparous

multiparous

Question 4

Aetiology

Powers - 1 cause

Passage - ?-pelvic disproportion, rarely ? resistance (if induction)

Passenger - fetal ?, disorder of ? (eg O-? or O-?), disorder of ? (Eg brow)

Answer 4

inefficient uterine action

cephalo
cervical

size
rotation
T, P
flexion

Question 5

MGMT - General - wait if ? ? is wanted, ?, improve support

• Nulliparous - induction with ? or give ?
• Multiparous - induction with ? or give ? only if ?/? excluded
• if this fails - ? ? if first stage, ? ? if second stage

Answer 5

natural labour
mobilize
amniotomy
oxytocin
amniotomy
oxytocin
malpresx/malposition
CS
instrumental delivery