labour

Question 1

Pain relief in labour (non-pharm)

Answer 1

birth ball (maybe useful)
water injection (no effect)
Heat pack / massage (maybe useful in the first stage)
TENs (no effect)
acupunture / acupressure (may reduce the pain)

Question 2

Pain relief in labour (pharmacological)

Answer 2

NO (some analgesic effect but lots of SE)
Non-opioid analgesics (no evidence)
opioid (SE)
Local anaesthetoc (epidural)

Question 3

how PG induce labour

Answer 3

soften&dilate cervix
induce uterine contraction

Question 4

PG can be used alone Y/N

Answer 4

N

Question 5

when should oxytocin be used

Answer 5

6 hrs after PG

Question 6

If at risk of pre-term delivery of 24-30 wks, how long should we use the corticosteroid

Answer 6

1 wk

Question 7

we can consider give magnesium sulphate if the patient is likely to deliver within 24 hours+ less than 30 wks of pregnancy Y/N

Answer 7

Y

Question 8

causes for pre-term birth

Answer 8

durgs
infection
maternal bleeding
smoking
alcohol
cervical incompetence
placental insufficiency