Deck 1 Flashcards
Hypotension is a late sign of shock. Any sign of hypovolaemia during pregnancy is likely to indicate what?
A 35% blood loss
Manual uterine displacement must be employed to support resuscitative measures of?
20 weeks gestation.
Normal labour is one that spontaneously begins when?
After 37 weeks gestation with baby in cephalic ( head down)
Full term gestation is ?and pre term is?
+37 weeks full term
- 37 weeks pre term
Stage one is defined as what?
Dilation and effacement of the cervix, rupture of membranes and loss of mucus ( plug)
The design and shape of the female pelvis is to help with what?
Allow babies to pass through negotiations several complex turns or rotations along the way.
Diameters are designed to allow what?
Are designed for baby’s head to undergo enlargement, decent, flexion, rotation, extension, restitution and expulsion in order to born.
What is Lanugo?
Soft fine hairs covering a part of the foetus while inside the uterus. It helps protect them and keeps them warm while they grow.
What is meconium.
Babies poo
Which term has a higher chance of self malpresentation and cord prolapse?
Pre term
What complications can occur and may directly influence labour management are?
Prem labour
Intrauterine growth restriction
Antepartum haemorrhage
Pre eclampsia
Malpresentation. Anything other than the head engaging
Cord prolapse.
What is primary survey
Establish gestation.
What are the 4 T.
Tissue
Thrombin
Trauma
Tone
What is a post pastum haemorrhage ?
A loss of more than 500 mls of blood from genital tract within first 24hs after birth (primary) or post birth (secondary)
Risk factors of PPH
Induction of labour
Delay in delivery of placenta
Perineal teal or episiotomy ( a cut to help delivery)
Having a longer labour (more than 12 hrs)
Having a large baby more than 9lbs 4kg
What is rumping?
Rumping (buttocks visible at the perinium) is the opposite to crowning.
What is type 1 female genital mutilation
Clitoridectom
Partial or total removal of clitoris and in very rare cases only prepuse ( folds of skin around clitoris.
Causes of menorrhagia. Heavy blood loss during period.
Fibroids or polyps in uterus
Endometriosis
Pieces of wound lining found outside the womb
Pelvic inflammation disease. STI
Polycystic ovaries syndrome
Under active thyroid.
Termination of pregnancy and ways
24 weeks
Medical abortion (pill) 24-48 hrs after intercourse
Surgical abortion minor procedure to remove the pregnancy and normally go home soon after.
What are the causes of a uterin prolapse
Aging process
Pregnancy/delivery
Previous pelvic surgery conditions that increase intra abdominal pressures such as COPD, constipation, obesity, manual labour.
