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Labour Flashcards

1
Q

what is labour?

A

The period between the onset of regular and painful contractions and the delivery of the placenta

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2
Q

What are the main signs of labour?

A
  • regular and painful uterine contractions
  • a show (Shedding of mucous plug)
  • rupture of the membranes (not always)
  • shortening and dilatation of the cervix
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3
Q

How many stages of labour are there?

A

3

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4
Q

How long is the first stage of labour in nulliparous women?

A

12-14 hours

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5
Q

How long is the first stage of labour in subsequent pregnancies?

A

6-8 hours

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6
Q

How long is the second stage of labour in nulliparous women?

A

1-2 hours

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7
Q

How long is the second stage of labour in subsequent pregnancies?

A

5-60 mins

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8
Q

What is the third stage of labour?

A

Delivery of the placenta

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9
Q

How long is the third stage of labour?

A

30-60 mins

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10
Q

What is the latent first stage of labour?

A

Onset of irregular painful uterine contractions and point at which cervical effacement and 3cm dilatation is reached

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11
Q

How much does the cervix dilate an hour in latent first stage?

A

0.5cm per hour

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12
Q

What is the established first stage of labour?

A

Regular, painful contractions
And the cervix dilated from 3cm to 10cm

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13
Q

How much does the cervix dilate an hour in established first phase?

A

1cm every hour

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14
Q

What is the second stage of labour?

A

This is the interval between full dilatation of the cervix (10cm) and delivery of the baby.

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15
Q

How many parts are there to the second stage of labour?

A

2 phases
Active and passive stage of labour

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16
Q

What is the passive phase of the second stage of labour?

A

There are no involuntary expulsive contractions

17
Q

What is the active phase of the second stage of labour?

A

The baby is visible and the woman has an involuntary urge to push or is encouraged to push

18
Q

What is a safe length of time for the second stage of labour?

A

2 hours in nulliparous women,
1 hour in multiparous women

19
Q

What medication can be used if the second stage isn’t advancing fast enough?

A

Oxytocin

20
Q

What is the third stage of labour?

A

Delivery of the baby and expulsion of the placenta and membranes

21
Q

What can the third stage of labour occur?

A

Physiological or active

22
Q

How can the third stage of labour be physiological?

A

When delivery occurs by maternal effort alone

23
Q

How can the third stage of labour be active?

A

When uterotonic drugs, cord clamping and controlled cord traction are used after signs of placental separation

24
Q

What drug is given in the active management of the third stage of labour?

A

IM oxytocin

Reproduction (88 decks)

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