Labour

Question 1

is rupture of membranes diagnostic of labour?

Answer 1

no, but usually happens at same time

Question 2

what is induction of labour?

Answer 2

planned initiation of labour prior to its spontaneous onset

Question 3

maternal indications for induction of labour?

Answer 3

prolonged pregnancy (over 41 weeks)
premature rupture of membranes
hypertension, diabetes, cholestasis of pregnancy, APH, deteriorating illness
social reasons

Question 4

fetal indications for IOL?

Answer 4

IUGR

macrosomia

Question 5

contraindications to induction of labour?

Answer 5

malpresentations
placenta praevia
cord prolapse
signs of fetal distress

Question 6

what is engagement?

Answer 6

when the presenting part enters the pelvis

Question 7

where are the results of assessment of labour recorded?

Answer 7

partogram

Question 8

what assessments of labour are undertaken

Answer 8

contractions
cervical dilation 
stations 
amniotic colour (presence and colour) 
maternal observations (temp, pulse, BP) 
Fetal observations - Heart rate, position of head, presence of moulding --> sign of obstruction

Question 9

how is the cervix assessed during labour? (3)

Answer 9

consistency
effacement
dilation

Question 10

indications for continual monitoring using CTG?

Answer 10

maternal request 
risk factors for fetal distress 
significant meconium staining 
abnormal heart rate on auscultation 
fresh vaginal bleeding 
augmentation of contractions with syntocin