Abnormal Labour and Postpartum Care

Question 1

what are indications for induction of labour

Answer 1

diabetes 
post dates plus 7 days
maternal health problems 
growth concern
big babies

Question 2

what is induction of labour

Answer 2

when an attempt is made to instigate labour artificially using medications or device to ripen the cervix followed usually by artifiical rupture of membranes

Question 3

what doe bishops score measure

Answer 3

asses the cervix the higher the score more likely induction would be successful

Question 4

what is the process of the induction of labour

Answer 4

if not dilated-prostaglandin or balloon
amniotomy-rupture of fetal membrane by sharp device
IV oxytocin

Question 5

what are the 3 ps

Answer 5

power, passage and passenger

Question 6

what is suboptimal progress In a primigravida woman

Answer 6

less than 0.5 dilation per hour

Question 7

what is suboptimal progress in a parous woman

Answer 7

less than 1cm dilation per hour

Question 8

what is inadequate uterine activiy

Answer 8

if contractions are inadequate the fetal head will not descent and exert force on cervix
IV oxytocin

Question 9

what is cephalic disproportion

Answer 9

when the fetal head is int he correct position but it is too large to navigate out of the maternal pelvis

Question 10

what is malposition

Answer 10

involves the fetal head being in an incorrect position for labour

Question 11

why is it Important to try and avoidd too many contractions

Answer 11

this can result in fetal distress due to infussicient placental blood flow

Question 12

what is fetal wellbeing in labour determined by

Answer 12

intermittent auscultation of fetal heart
CTG
fetal blood sampling
fetal ECG

Question 13

what is fetal blood sampling

Answer 13

used when abrnormal CTG
provides a direct measurement form the baby
pH levels hyperaemia?

Question 14

when should you not induce labour

Answer 14

obstruction to birth canal-praevia
malrpesentations-shoulders
uterine rupture
fetal conditions

Question 15

what is there for instrumental delivery

Answer 15

forceps

vacuum extraction

Question 16

when is c section used

Answer 16

essential for the management of obstructed labour or fetal distress before the cervx is fully dilated
risk of infection and bleeding

Question 17

what normally happens post partum

Answer 17

see midwife 9-10 days after
referred to health visitor
6 weeks postnatal check

Question 18

what are common problems after birth

Answer 18

problems with infant feeding
problems with bonding
social issues

Question 19

what are postnatal probelms

Answer 19

post partum haemorrahge- >500ml lost within 24 hours 
tone 
trauma
tissue
thrombin 
venous thromboembolism

Question 20

how to treat sepsis

Answer 20

IV antibiotics
bloods
MSSU
wound swabs

Question 21

what is postnatal depression

Answer 21

has classical signs of depression

often requires tretament

Question 22

what is thromboembolic disease

Answer 22

after pregnancy-hypercoaguable state
6 times more likely to get. a DVT
thromboprophylaxis

Question 23

how does DVT presetn

Answer 23

unitlateral swelling in leg
pain
SOB
chest pain -PE?

Question 24

how to investigate

Answer 24

ECG

leg doppler