Labour Flashcards
What is the 1st stage of labour?
Progressive contractions with thinning of cervix and dilatation from 3-10cm
What is the second stage of labour?
Full dilation to delivery where head descends down pelvis
What is the third stage of labour?
From delivery of baby to delivery of placenta and membranes within 30 minutes of baby delivery
What can be given after delivery of the anterior shoulder to deliver placenta?
Oxytocin injection
What are 2 non-regional analgesia options for labour?
Entonox (gas and air)
IM morphine
What is a regional analgesic for labour?
Epidural into L3-4
What are some indications for induction of labour?
Pregnancy over 41 weeks
PROM
Maternal request
Maternal health - pre-eclampsia
What is an induction method offered from 39 weeks?
Membrane sweep
What is an induction method for bishop score over 6?
Amniotomy - artificial ROM
What is defined as a delay for the first stage of labour?
Cervical dilatation of less than 2cm in 4 hours
What is defined as a delay for the second stage of labour?
Nulliparous> 2 hours
Multiparous > 1 hour
What are the 3 P’s of delayed labour?
Power
Passenger
Passage
What are the 3 elements of passenger?
Size of foetus - head and shoulder diameter
Foetal presentation - cephalic, brow, breech
Foetal position
What can be given to speed up labour?
Oxytocin infusion
What is shoulder dystocia?
Anterior shoulder gets stuck behind pubic symphysis