Conduct Of Normal Labor And Delivery Flashcards
It is the relation of the long axis of the fetus
Fetal lie
Present 99% of fetal lie
Longitudinal
What are predisposing factors of transverse lie
Multiparity
Placenta previa
Hydramnios
Uterine anomalies
Cephalic presentation
Vertex
Face
Brow
Sinciput
Breech
Frank
Complete
Incomplete or footling
When the thighs are flexed and the legs extended over the anterior surfaces of the body
Frank breech
If the thighs are flexed on the abdomen and the legs upon the thighs
Complete breech
Known as the habitus or posture
Fetal attitude
How do you perform L1 to L3
Examiner stands at the side of the bed and faces the px
First manuever is called
Fundal grip
Sensation of a large nodular body
Hard and round and is more freely movable and balottable
Breech
Cephalic
Second maneuver
Lumbar grip
Hard and resistant
Back
During the 3rd maneuver when is the presenting part not engaged
Movable body above the symphysis pubis
Pelvic grip
Prominence is on the same side as the back
Face presentation
What are the cardinal movements of labor
Engagement Descent Flexion Internal rotation Extension External rotation Expulsion
Mechanism by which the biparietal diameter passes through the pelvic inlet
Engagement
First requiste for birth of the new born
Descent
When does descent begin in multiparous women
Engagement
What are the forces that act on fetal descent
Pressure of amniotic fluid
Direct pressure of the fundus upon the breech with contractions
Bearing down with abdominal muscles
Extension and straigthening of the fetal body
Forces that act on the extension
Uterus posterior
Resistant pelvic floor and symphysis anteriorly
Sagittal suture approaches the sacral promontory
Anterior asynclitisn
Sagittal suture lies close to the symphysis
Posterior asynclitisn
Due to prolonged labor
Capit sccedaneum