Abnormal Labor

Question 1

What is considered abnormal active stage 1 labor?

Answer 1

No change for 4 hours or taking longer than 5 hours

Question 2

What are 3 options to get mom going during latent phase?

Answer 2

Balloon
Amniotomy
Meds like oxytocin or misoprostol

Question 3

What are the 3 P’s of delivery that we think about when delivery isn’t happening and the potential cause?

Answer 3

Passenger, pelvis and power. Can’t do anything about baby or moms anatomy so do C section if these are the problem. But we can help with moms contraction power.

Question 4

How do we best define inadequate contraction power and how to we measure it?
Best way to augment moms power?

Answer 4

Less than 200 MV
IUPC

Oxytocin

Question 5

How to treat prolonged or arrested active phase of stage 1 labor initially? What if it fails?

Answer 5

Oxytocin
C section
Basically, if contractions are not adequate, try oxytocin first.
If contractions are strong enough, c section

Question 6

How do we treat prolonged or arrested stage 2?

Answer 6

Same deal. Try oxytocin first depending on adequate contraction or not.
If baby station is negative, c section. If baby station is positive, do forceps or vacuum.

Question 7

Top 3 choices for treatment or prolonged or arrested stage 3 labor or simply put, placenta is stuck?

Answer 7

1. Uterine massage
2. Oxytocin
3. Manually go in and get it