High-risk birth Flashcards
labor dystocia (dysfunctional labor)
-long/difficult labor
indications for labor inductions
-preeclampsia
-DM
-infection (GBS)
-post-term pregnancy
-PROM
-fetal death
contraindications for labor induction
-complete placenta previa
-transverse fetal lie
-umbilical cord prolapse
-previous transfundal surgery
-active vaginal herpes infection
when can someone have an lecture induction
39-40 weeks
is a Bishop score?
tool used to identify those most likely ti ave a successful induction
hen can you use a cervical ripening agent?
-if the bishop score is above 8
cervical ripening methods
-meds
-mechanical (dilators)
adverse effects of oxytocin
-tachysystole
-fetal distres
-water intoxication
issue with operative vaginal birth
increase chance of hemorrhage
c-section indications
- previous classical c-section
-placental abnormality
-gestational hypertension
-DM
-active herpes
-positive HIV
-prolapsed cord
-dystocia
-fetal distress
-some congenital abnormalities
c-section increased maternal risk
-infection
-hemorrhage
-aspiration
-pulmonary embolism
-UTI
-thrombophlebitis
-paralytic ileus
-atelectasis
-
c-section increased fetal risk
-fetal injury
-transient tachypnea
VBAC candidates
-1 or 2 previous low transverse uterine incision
VBAC risk
uterine rupture
what type of twins are more prone to complications
monozygotic
