Labour Flashcards
what is used to grade the favourability of the cervix and what is a good score
Bishop score
>8 = good
what is assessed in the bishop score
dilation, consistency, length of canal, position, station of presenting part
what should be done as soon as the baby is born
APGAR score - at 1min and 5min of age
Give 3 options for prevention of preterm labour
Vaginal progesterone
Prophylactic cervical cerclage
rescue cervical cerclage
what are the indications for vaginal progesterone and when is it given
if Hx of spontaneous preterm birth or mid trimester loss and/or cervical length <25mm
given 16-24w gestation ad continue till 34w
3 things that should be given to a mother presenting with preterm labour
maternal corticosteroids (IM betamethasone)
tocolytics (nifedipine or atosiban)
IV mg sulphate (if birth expected in <24hr)
why would you give maternal corticosteroids to a woman in preterm labour
accelerate foetal lung maturation
give 4 RFs for PPROM
smoking, STI, prev PPROM, multiple preg
outline management of PPROM
admit
offer prophylactic antibiotics
clinical surveillance for preterm labour and chorioamionitis
maternal corticosteroids
what is the first line antibiotic in PPROM
oral erythormyciin
2nd = oral penicillin
would you give tocolytics in PPROM
no - due to inc risk of inf
2 external manouvers for shoulder dystocia
mcRoberts
suprapubic pressure
2 internal manouvers for shoulder dystocia
wood’s screw manouver
rubin II manouver
what should be offered to all women with breech presentation
Extrernal cephalic version (ECV)
contraindications to ECV
abn CTG
major uterine abn
recent anteP haemorrhage
ruptured memb
