Abnormal Labor/Induction of Labor Flashcards
What does protracted labor mean?
- slower than normal progress of labor
What does arrested labor mean?
- complete cessation of progress
What medication is used to treat hypocontractile states (poor power)?
- pitocin (oxytocin)
How is “active phase arrest” diagnosed?
When a protraction disorder persists despite oxycotin therapy
How is arrested second stage defined?
no descent of the presenting part in >2hours in nullip and >1 hour in multip (without epidural)
*add 1 hour if epidural
T/F: You can use both a vacuum and forceps during the same operative vaginal delivery.
FALSE
never use both!
Why is it crucial to know the fetal position if performing an operational vaginal delivery?
- you don’t want to put a vacuum on a fontanelle
What gestational age marks the cut off for using a vacuum?
34 weeks
Patients with a previous C-section need to be delivered by repeat C-section at _____ weeks.
37
What is the current recommendation for delivering a breech presentation?
- C-section
The only way a face presentation can be completed is if the chin is in what position?
anterior position
What is a lotus birth?
practice of leaving the umbilical cord uncut after childbirth for 3-10 days
What are the 3 possible causes of dystocia (slow progress of labor)?
- poor uterine contractions
- malpresentations and malposition
- disproportion between fetal size/pelvic size
exclude poor contractions and malpresentation before making a diagnosis of disproportion
What is the biggest difference between a low transverse and classical C-section?
- low transverse you can have a trial of labor
- classical (vertical) you cannot
What is the biggest future risk after performing a c-section?
uterine rupture
- not as common if there has been >18 months since last pregnancy*
- more common in classical c-section*
