Abnormal labour and delivery Flashcards
1
Q
What may cause fever in labour
A
- chorioamnionitis
- epidural
- prolonged labour
2
Q
How to manage inefficient uterine action
A
- amniotomy
- oxytocin
3
Q
How to manage hyperactive uterine action
A
- treat root cause
- give tocolytic if no abruption
- C section often indicated due to foetal distress
4
Q
What may cause hyperactive uterine action
A
- placental abruption
- too much oxytocin
- prostaglandins to induce labour
5
Q
What does unstable lie mean
A
Baby may lie longitudinal then suddenly oblique then transverse
6
Q
Foetus mechanism of labour
A
- Descent
- Flexion
- Internal rotation
- Crowning
- Extension
- Restitution
- Internal rotation of shoulders
- Explulsion (external rotation of head, shoulders & torso delivered by lateral flexion)
7
Q
Most common malrotation of foetus
A
Occipito-posterior position
8
Q
List the following foetal malrotations from largest diameter to smallest
A
- Brow
- Face
- Occipito-transverse
- Occipito-posterior
9
Q
List the degrees of involvement in the 4 types of perineal tears
A
- 1st degree: minor damage to fourchette
- 2nd degree: perineal muscle
- 3rd degree: anal sphincter
- 4th degree: anal mucosa/ rectal tissue
10
Q
An episiotomy is equivalent to what degree of perineal trauma
A
2nd degree
