Induction of labour Flashcards
IOL for LGA
OASIS - higher with IOL
SD - lower with IOL (no difference if no diabetes)
Perinatal death - no difference
HIE - no difference
Mat satisfaction - no difference
Brachial plexus injury - no difference
CS - no difference
Cochrane review on PG/Foleys/Miso
NICE guidelines for IOL
When may a baby be injured at CS
Impacted
Macrosomic
Malpresentation
How can an impacted CS be managed
Senior do VE
Consider measures - fetal pillow, GTN, trendelenberg, breech extraction
Maternal morbidity with impacted head?
Urinary tract injury
Angle extensions
PPH
Rate of a subgaleal
1 in 2500 for VND
1 in 250 for kiwi/ventous
Higher risk if nullip, >20min cup application, >3 pulls,
Differential diagnosis of subgaleal
Cephalohaematoma - does not cross suture lines
Caput succedaneum
Chignon