Assessment of Progress and VEs

Question 1

Describe Mexican cold legs theory

Answer 1

as body works harder, blood drawn from extremities due to it being needed by eg. placenta

Question 2

anal flare (purple line) theory
and is it research based?
Vasocongestions ?

Answer 2

Yes it is research based - to do with line and dilitation
increased blood flow causes purple line to extend from anal margin to top of buttocks
Vasocongestion - swelling of bodily tissues

Question 3

Rhombus of Michaelis

Answer 3

Kite shaped, included the sarcum and lower lumbar vertabrae

moves backwards and relaxes to allow fetus to pass through

Question 4

Name some indications for a VE both AN and intrapartum

Answer 4

AN

• to exclude rupture of membranes
• IOL / stretch and sweep

intrapartum

• assessment of progress
• confirm resenting part / position
• ARM
• FSE
• fetal blood sampling
• exclude cord prolapse

Question 5

Contradictions of a VE

Answer 5

• placenta previa - covering the OS
• PPROM / PROM
• malpresentation
• preterm labour (to not risk stimulating the cervix)
• bleeding

Question 6

Why should bladder be empty for a VE?

Answer 6

Due to the presenting part and risk of being misplaced

Question 7

Information to be gained from a VE

Answer 7

FGM
Cervix - position, consistency, effacement, dilitation , application
Membranes
Presenting part - station and position (sututres and fontanelles)
Caput