Failure to progress

Question 1

failure to progress- what?

Answer 1

<2cm dilation in 4 hours in nulliparous women

And

<2cm dilation in 4 hours or slowing in progress in multiparous women

Question 2

Failure to progress- cause?

Answer 2

Most common= deflexion of the head

Question 3

Signs of obstruction in failure to progress?

Answer 3

-moulding
-Caput (swelling that affects newborns scalp)
-Anuria
-Haematuria
-Vulval oedema

Question 4

Investigations in failure to progress?

Answer 4

Assess progress in labour:
-cervical dilatation
-descent of presenting part

Partogram
-a graphic representation in the progress of labour
-commence as soon as in established labour

Question 5

what is assessed in a partogram?

Answer 5

Measures:
-Fetal heart
-Amniotic fluid
-Cervical dilatation
-Descent
-Contractions
-Obstruction (moulding)

Question 6

Failure to progress management?

Answer 6

operative delivery/ Ceserean section