labour

Question 1

what are the features of true labour contractions vs Braxton hixs

Answer 1

true: progressive in frequency, duration and intensity

false: occasional and irregular

Question 2

what is the first stage of labour

Answer 2

from onset of true contractions to fully dilated cervix
1/ latent: 0-3
2/ active: 3-7
3/ transitional: 7-10

Question 3

what is the second stage of labour

Answer 3

from 10cm dilation to delivery of the foetus

Question 4

what is the third stage of labour

Answer 4

from delivery of the baby to delivery of the placenta

Question 5

what does the success of the second stage of labour depend on

Answer 5

3 P’s
power of contractions
passenger: size, posture, lie, presentation
passage (generally width of hips)

Question 6

when should active management be considered in the third stage of labour

Answer 6

haemorrhage or more than 60 minute delay
IM oxybutynin and cord traction

Question 7

what does presentation of the foetus refer to

Answer 7

which part of the foetus is closest to the cervix

cephalic
shoulder
breech (legs first)