CS nice Flashcards
1
Q
When providing of information
A
- Evidence based
- Accessible and in a format they understand
- Suitable and respectful language
- Keep womens concerns central in the decision making
2
Q
% of CS (overall)
A
25-30%
3
Q
Conditions requiring CS
A
- HIV (high viral load)
- Breech (offer ECV)
- Praevia/accreta
- ## Multiple preg
4
Q
Do not offer CS for
A
- Hep B/C
- Herpes, unless new in 3rd T
- High BMI
- Pelvic disproportion
5
Q
Tocophobia
A
Offer mental health support
6
Q
What factors do NOT influence CS
A
- Walking in labour
- Non-supine position in 2nd stage
- Immersion in water in labour
- Epidural
- Raspberry leaves
7
Q
Cat 1
A
Within 30min
Life threatening
8
Q
Cat 2
A
Not immediately life threatning
75min
9
Q
Cat 3
A
Needs early birth but no maternal/fetal compromise
10
Q
Cat 4
A
Planned elective birth
11
Q
Medication to maintain BP post spinal
A
Phenylephrine
12
Q
Ways to reduce infections in CS
A
- IV abx stat
- Chlorhexidine/Iodine to clean skin
- Vaginal prep if SROM
13
Q
Fetal laceration risk
A
2%
14
Q
Placenta removal
A
CCT better
Mannual removal increases risk of endometritis
15
Q
Closure of subcut tissue
A
if >2cm
