Intrapartum Care and Induction of Labour Flashcards
What defines the latent phase of the first stage of labour?
Cervical dilatation < 4cm
Where should women be if possible during the latent phase of the first stage of labour?
At home
If the woman is in hospital for the latent phase of the first stage of labour, how often should their a) pulse? b) temperature and BP? be measured?
a) hourly b) 4 hourly
Describe briefly the active management of the 3rd stage?
Routine use of uterotonic drugs and deferred clamping/cutting of the cord
If there have been signs of placental separation in the 3rd stage of labour, how is this managed?
Controlled cord traction
What effect does active management have on the length of the 3rd stage of labour compared to physiological management?
Shortens its duration
Active management of the 3rd stage is associated with what side effect in around 10% of women?
Nausea and vomiting
In physiological management of the 3rd stage of labour, there is no clamping of the cord until when?
Pulsations have stopped
Describe what is meant by delay of the 3rd stage of labour?
Not completed in 30 minutes with active management or 60 minutes with physiological management
What is the management of delayed 3rd stage of labour?
Assess and remove the placenta manually under anaesthetic
When is induction of labour performed?
When the presumed risk to the mother or the foetus is higher than the risk of induction
What are some maternal indications for IOL?
Pre-eclampsia, poor obstetric history, medical disorders
What are some foetal indications for IOL?
IUGR, Rh isoimmunisation, antepartum haemorrhage, PROM
What are some indications for IOL which affect the mother and foetus?
Post-dates, diabetes, obstetric cholestasis
What are some methods of induction of labour?
Prostaglandins (PGE2 dinoprostone), membrane sweep, Foley balloon catheter, amniotomy, IVI syntocinon
