Abnormal labour

Question 1

What is Bishop’s score used to access?

Answer 1

Clinically accesses the cervix, the higher the score the more success an induction will be.

Looks at:
dilation
Length of cervix (effacement)
postion
Consistency of cervix
Station

Question 2

What can be given to help stimulate adaquate contractions?

Answer 2

IV oxytocin

Want 4-5 contractions in 10 minutes

Question 3

What are indications for induction?

Answer 3

Diabtetes
Post dates Term + 7 days (as increasing risk of still birth)
Maternal need for planned delivery (needs treatment e.g. for DVT)
Fetal reasons (growth concerns or oligohydramnios)
Maternal request

Question 4

What possible intrapartum complications can occur?

Answer 4

REMEMBER P’s
Power- inadequate uterine activity
Passages- Cephalopelvic disproportion (CDP) or obstruction (e.g. fibroids)
Passenger- Malposition and Malpresentation

Question 5

What is CPD?

Answer 5

Cephalopelvic disproportion - mismatche between size of babies head and mothers pelvis

Question 6

Describe the difference between Malposition and Malpresentation

Answer 6

Malpostion - not in occipito-anterior position

Malpresentation- not in cephalic lie.

Question 7

What is a 3rd degree tear?

Answer 7

Involves anal sphincter

Question 8

What is a 4th degree tear?

Answer 8

Involves rectal mucosa

Question 9

What is placenta previa?

Answer 9

When the placenta is attached too low in the uterus (with 10cm of opening or less)