Intrapartum care Flashcards

1
Q

What is labour induced by?

A

Using medications

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2
Q

What percentages of labours are induced?

A

20%

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3
Q

What are contraindications of induced labour?

A

o Malpresentation
o Placenta praevia
o Prolapsed umbilical cord

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4
Q

What are maternal contraindications of induction of labour?

A

Asthma

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5
Q

What is Bishop score?

A

Score of how ready for birth

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6
Q

What are the different ways to induce labour?

A

Topical prostaglandin analogues: Misoprostol. Can be a Pessiary or vaginal gel. Membranes may rupture sponataneously.
Mechanical methods: Balloon catheter- Less likely to cause fetal distress
IV synthetic oxytovin- Initiates uterine contraction

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7
Q

What are the complications of induction of labour?

A

Hypotension
Hyponatremia
So get IV fluids too

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8
Q

What does fetal monitoring do?

A

Assess fetal wellbeing and detects stress

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9
Q

What is cardiotocgraphy?

A

Records baby heart

Monitors contraction of uters and babies heart

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10
Q

What are the indications of fetal monitoring?

A

Induction of labour
Multiple pregnancy
Pyrexia
Basically anything abnormal

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11
Q

What does DR C BRAVADO stand for?

A
DR: Determine risk
C: Contractions
BRAVADO- Cardio bit
BRA: Baseline rate. 100-160 bpm
V: Variability of baseline rate
A: Acceleration- Upward spike
D: deceleration- Downward spike
O: Overall is it normal?
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12
Q

What is fetal blood sampling?

A

Confrm CTG signs of fetal hypoxia
Cut on head to look at blood
Low ph is hypoxia. Immediate delivery
10% of cerebral hypoxa cases

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13
Q

What is a C-section?

A

Incision in abdominal wa;; and uterus

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14
Q

What are the 2 types of C-section?

A

Lower uterine segment incision: Hotizontal

Classical: Rarely done. Longitudinal

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15
Q

What are the indications for C-section?

A

Fetal distress
Fail to progress in labour
Malpresentation
Twin pregnancy with a non cephalic presenting twin

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16
Q

What are the categories of C-section?

A

DOne