Abnormal labour

Question 1

What is the criteria for normal labor x5

Answer 1

1. Spontaneous
2. Vertex position
3. W/o undue prolongation
4. Natural termination with minimal aid
5. W/o compromising the health of the mother or child

Question 2

State the four Ps of abnormal labor

Answer 2

Power
Passenger
Passage
Psych

Question 3

Risk factors of abnormal labor x7

Answer 3

First pregnancy
Macrosomia, short stature
Pelvic malformations
Post term pregnancy
Advanced maternal age
Early rupture of membranes

Question 4

What are ineffective contractions

Answer 4

Don’t result in cervical dilation, effacement and descent of fetus

Question 5

What are inadequate contractions x2

Answer 5

Less than 40 seconds and less than 2 in 10 minutes (normal 4-5)

Question 6

What causes release of catecholamines (2) and their effect

Answer 6

Pain and anxiety
Inhibitory effect on uterine contractility leading to abnormal labor

Question 7

Fetal complications of abnormal labor x5

Answer 7

HIE
Death
Fetal distress
Birth asphyxia
Intracranial hemorrhage

Question 8

Maternal complications of abnormal labor x3

Answer 8

PTSD
Hip dislocation
Genital edema

Question 9

Management of abnormal labor x5

Answer 9

Hydration
Frequent urination
C-section
Labor induction
Avoid pushing when urge is felt

Question 10

3 features of contracted pelvis

Answer 10

Contracted inlet plane
Contracted midway
Contracted outlet plane

Question 11

Management of abnormal labour x5

Answer 11

Ambulation
Bladder emptying
C section
Instrumental birth
Labour induction or augmentation