Labour Flashcards
In normal labour what is cervical effacement?
The carved becomes shorter, softer and moves towards the anterior fornix of the vagina
How is labour diagnosed?
The cervix begins to dilate?
What positions can the foetal head present, what does this mean for the delivery?
Well flexed - Suboccipito-bregmatic diameter
Deflexed - Occipito-frontal diameter
Extended - Mento-vertical diameter (brow presentation)
The less flexed the head is - the larger the diameter and the more problematic the delivery
What are the 4 types of pelvis and which is the best for delivery?
Gynaecoid - best
Anthrocoid - acceptable
Androcoid
Platypalloid
Give 4 foetal indictions to induce labour early
IUGR
Some Diabetic Pregnancies
Worsening Foetal Abnormalities
Deteriorating haemolytic disease of the newborn
Give 3 maternal indications to induce labour
Pre-eclampsia
Deteriorating medical condition
Rare situations where treatment is required for malignancy
What are the 3 main risks of inappropriate induction of labour?
Uterine hyperstimulation
Increased obstetric intervention
Failed induction
What is the scoring system used to assess the cervix in labour?
The Bishop’s Scoring system
What 3 methods can be carried out to induce labour?
Prostaglandin gels
Artificial rupture of membranes
Syntocinon
What is the acceptated baseline range for foetal heart rate?>
110-160bpm
What is meconium stained liquor and what is its significance?
It means that the foetus as passed meconium while in the womb and so it may signal that the foetus is post-term or that there has been a vagal response caused by foetal distress.
