induction Flashcards
1
Q
indications for induction
A
prolonged pregnancy (>42wks) pre- eclampsia placental insufficiency and IUGR antepartum haemorrhage - placental abruption rhesus isoimmunisation DM CKD
2
Q
what is the most common method of assessment for the cervix
A
bishops score
3
Q
what is uterine hyperstimulation defined as
A
more than 5 contractions in 10 minutes
4
Q
what are requirements to perform an artificial rupture of membranes using amniotomy
A
cervix soft, effaced and 2cm dilated min
head engaged and presenting by vertex
5
Q
what is the method of choice for induction when membranes are intact or cervix unsuitable for surgical induction ? how often should they be given
A
cervical ripening by prostaglandin E2.
3mg if no response after 6 hrs repeat
6
Q
if a prostaglandin pessary is given and hyperstimulation occurs what should be given
A
bolus of short acting tocolytic such as terbutaline
