Intrapartum Part 3

Question 1

Induction of labor!
How do we assess cervical ripening?

Answer 1

Bishop score, Measure of cervical ripeness and readiness.

Question 2

AROM

Answer 2

Artificial rupture of membranes, may induce labor.

Question 3

What is cytotec?

Answer 3

Can be used to contract uterus, can be given via suppository or buccally

Question 4

What is Oxytocin?

Answer 4

Contraction of smooth muscle

Question 5

How does the bishop score work?

Answer 5

Criteria, 0-3 categories, each one giving points. If the bishop score is 8 or higher, it is favorable for induction

Question 6

Prepidil and Cervidil? What form are they and what are they for?

Answer 6

Chemical induction methods, Prepidil is a gel, dervidil is a like, tape.

Question 7

Cervical ripening balloon? How does it work?

Answer 7

Mechanical induction method, Slowly expands the cervical opening, causes release of prostaglandins

Question 8

Laminaria Tent & Lamicel? How does it work? What is it?

Answer 8

Mechanical induction method, Sea-weed adjacent, results in fluid absorption from surrounding mucosa, inc. in size over time to dilate cervix.

Question 9

What’s an amniotomy? What does it do?

Answer 9

Use of amnihook to artificially rupture amniotic membrane. Can induce labor

Question 10

How is pictocin measured?

Answer 10

Units

Question 11

What is dystocia?

Answer 11

Issues with birth