3/5/13 Flashcards
During the active phase of labor, the cervix is usually dilated more than ___ cm.
4
At what rate must the cervix dilate in order for the active phase of labor to be considered normal (not protracted) in a nulliparous woman?
> or= 1.2cm/hr
At what rate must the cervix dilate in order for the active phase of labor to be considered normal (not protracted) in a woman who has had at least 1 vaginal delivery?
> or= 1.5cm/hr
What parameter dictates normalcy of labor?
cervical change over time
When a labor abnormality is Dxed, what 3 P’s should be considered?
Power, Passenger, Pelvis
What is the maximum amount of time third stage of labor should take to be considered normal?
30 min
How are clinically adequate uterine contractions defined?
every 2-3 min, firm on palpation, and lasting at least 40-60 sec
What are the 5 classes of tocolytics?
Mg++ sulfate Ca++ ch. blockers β2-agonists oxytocin antagonists NSAIDs
What is the name of the oxytocin antagonist?
atosiban
What is an adequate contraction in Montevideo units?
200 or more
How do you define arrest of the active phase of labor?
no cervical dilation for 2 hrs
What is the bloody show?
loss of cervical mucus plug resulting in dark vaginal blood mixed w/ mucus before labor
How are Montevideo units calculated?
sum of amplitude of contractions over ten-minute window
What kind of cancer are PCOS pts more prone to?
endometrial carcinoma
What kinds of cancer are OCPs protective against?
ovarian and endometrial
