Birth 2

Question 1

Which women are excluded from having a waterbirth

Answer 1

Less than 37 weeks pregnant
BMI 35+
Multiple pregnancy
Obstetric complications
Medical complications
Opiate analgesia within the last 3 hours.

Question 2

Definition of the third stage of labour

Answer 2

‘Time of birth to expulsion of the placenta and membranes’

Question 3

What is the latent phase in the 3rd stage of labour

Answer 3

From the delivery of the baby until the beginning of of the separation of the placenta.

Question 4

How long until separation is achieved?

Answer 4

3 mins

Question 5

What are the different methods of separation

Answer 5

Duncan Shultze

Question 6

What are the benefits of the active management of labour?

Answer 6

Shortens the third stage compared with physiological management
Associated with nausea and vomiting in about 100 in 1000 women
Associated with an approximate risk of 13 in 100 of a haemorrhage over 1 litre
Associated with an approximate risk of 14 in 1000 of a blood transfusion

Question 7

What do you find on examination of the placenta?

Answer 7

Membranes- 2 chorion and amnion
Cord- 3 in total 2 umbilical arteries and one umbilical vein
Estimation of blood loss
Records and record keeping
Looking for infarcts or calcification
Succenturiate lobe
Velamentous cord insertion
Umbilical knots

Question 8

When should the third stage of labour be completed by?

Answer 8

In active third stage- 30 mins

In physiological- 1hr