First Stage of Labour Flashcards

1
Q

What do high levels of oestrogen cause uterine muscle fibres to do?

A

Display oxytocic receptors and form gap junctions with each other

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What does oestrogen stimulate the placenta to do?

A

Release prostaglandins that will help the cervix to soften

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

When is a woman said to be in established labour?

A

When she is experiencing regular, rhythmic contractions and her cervix is at least 4cm dilated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the cervical dilatation range of the latent phase of labour?

A

0-4cm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Approximately how long does the latent phase of labour last?

A

6-8 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the cervical dilatation range of the active phase of labour?

A

4-8cm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Approximately how long does the active phase of labour last?

A

6-12 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the cervical dilatation range of the transitional phase of labour?

A

8-10cm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

A cervical dilatation rate of how many centimetres per hour is defined as normal?

A

0.5cm per hour

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is cervical effacement?

A

The inclusion of the cervical canal into the lower uterine segment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is cervical dilatation?

A

Process of enlargement of the os uteri to an opening large enough to permit passage of fetus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Where do contractions start and in which direction do they spread?

A

In the fundus near one of the cornua, spread across and downwards

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is polarity?

A

The neuromuscular harmony that prevails between the two segments of the uterus throughout labour

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Which uterine segment contracts strongly and retracts?

A

The upper segment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Which uterine segment contracts slightly and dilates?

A

The lower segment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How does retraction assist in the progressive expulsion of the fetus?

A

Upper segment of uterus becomes shorter and thicker and its cavity diminishes

17
Q

Where does the blood in a bloodstained show come from?

A

Ruptured capillaries in the parietal decidua where the chorion has become detached from the cervix

18
Q

Levels of what maternal hormone rise sharply during the last weeks of pregnancy?

A

Oestrogen

19
Q

What is the ridge that develops between the upper and lower uterine segments called?

A

The retraction ring

20
Q

During labour, does the retraction ring rise or descend?

A

Rise