abnormal labour Flashcards
what drug is often used in epidural anaesthesia
levobupivacaine
complications of epidural
hypotension dural puncture headache back pain atonic bladder
define failure to progress
nulliparous = <2cm dilation in 4 hours parous = <2cm dilation in 4 hours or slowing in progress
power problems causing failure to progress
inadequate contractions - frequency and/or strength
problems with passages causing failure to progress
short stature
trauma
shape
problem with passenger causing failure to progress
big baby
malposition
what is measured on a partogram
foetal heart amniotic fluid cervical dilatation descent contractions maternal obs
Frequency of Doppler auscultation of foetal heart in stage 1 of labour
during and after a contraction if contractions every 15 mins
frequency of Doppler auscultation of foetal heart in 2nd stage of labour
every 5 mins during and after a contraction for 1 whole min
what are the 4 features to document when assessing a CTG
baseline foetal heart rate
baseline ariability
presence/absence of decelerations
presence of accelerations
management of foetal distress
change maternal position IV fluids stop syntocinon scalp stimulation foetal bloods
if foetal scalp pH <7.2, what should happen
deliver baby
indications for C section
previous CS foetal distress failure to progress breech presentation maternal request
complications of CS
sepsis haemorrhage VTE trauma transient tachypnoea of newborn subfertility complications in future pregnancy
