Abnormal labor Flashcards
What is the most common reason for Csection?
Protraction and arrest
What would dx an arrest of labor?
dilation or 6 cm or more
with either no change in 4 or more hrs despite good contractions
no changes in 6 or more hrs with poor contractions
What station would be minimum to perform amniotomy because of preventing umbilical cord wrapping around the neck?
station -2
Does oxytocin help cervical dilation?
no it only helps the contractions
What are the indications for a c-section?
Labor dystocia fetal monitoring issues abnormal placentation maternal infection prolapse cord fetal malpresentation Prior uterine surgery
When can a pt opt to induce labor?
39 weeks
What are the contraindication for labor induction
Prior c section prior uterine rupture active genital herpes placenta previa, vasa previa or cord prolapse cervical ca Transverse fetal lie cat 3 fetal heart tracing
When would you attempt an external cephalic version?
greater than or equal to 36 weeks so it doesn’t flip back
A footling breech position and hyperextension of the fetal head must be delivered by which vaginal or C-sect?
C- section
A G1P0 woman in 37 plus 5 weeks has strong regular contractions measured from an intrauterine monitor. She has confirmed ruptured membranes and is dilated 6cm. She has had contractions for 4.5 hrs with no change in her dilation. What would you dx her as?
Arrested labor
