Abnormal labour Flashcards

1
Q

Analgesic methods in labour?

A
Support
Massage
Entonox
TENS
Water immersion
IM Opiate
IV Remifentanil
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2
Q

Aetiology of labour pain?

A

Compression of para-cervical nerves

Myometrial hypoxia

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3
Q

Which medication is used in an epidural?

A

Levobupivacaine +/- opiate

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4
Q

Complications of epidural?

A
Atonic bladder
Headache
Back pain
Hypotension
Dural puncture-rare
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5
Q

Reasons of failure to progress with regards to 3Ps

A

Power- Inadequate contraction: Frequency and or strength

Passage: Short stature, trauma, shape

Passenger: Big baby, malposition

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6
Q

Which observations make up the partogram?

A
Fetal heart
Amniotic fluid
Cervical dilatation
Descent
Contractions
Obstruction
Maternal OBS
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7
Q

Intra-partum fetal heart assesment?

A

Doppler auscultation of fetal heart

CTG

Color of amniotic fluid

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8
Q

Risks for fetal hypoxia?

A
Preterm
Pre eclampsia
DM
Epidura
Haemorrhage
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9
Q

Acute causes of fetal distress?

A

Abruption
Uterine rupture
Cord prolapse
Vasa Praevia

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10
Q

Management of fetal distress?

A

Change maternal position

IV fluid

Stop syntocinon

Scalp stimulation

Consider tocolysis

Maternal assessment

Fetal blood sampling

Operative delivery

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11
Q

Indications for Operative delivery?

A

Delay
Fetal distress

Maternal cardiac disease
Severe PET/Eclampsia
Intrapartum haemorrhage
Umbilical cord prolapse

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12
Q

Disadvantages of ventousse delivery?

A

Increased failure
Increased cephalohaematoma
Increased retinal haemorrhage
Increased maternal worry

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13
Q

Advantages of ventousse delivery?

A

Decreased Anaesthesia
Decreased vag trauma
Decreased perineal pain

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14
Q

Disadvantage of C section?

A

4x greater maternal mortality

Sepsis, haemorrhage, VTE, trauma etc etc

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15
Q

Indications for C section?

A
Previous CS
Fetal distress
Failure to progress to labour
Breech
Maternal request
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