Labour

Question 1

What medication is administered during augmentation of labour?

Answer 1

Syntocinon (Synthetic oxytocin)

Question 2

Where is natural oxytocin produced and stored?

Answer 2

Hypothalamus

stored in posterior pituitary

Question 3

What does Oxytocin do?

Answer 3

Caused the uterus to contract

Question 4

When does labour change from latent to established?

Answer 4

Cervix dilated to 3cm and regular contractions

Question 5

When should a patient contact their midwive during first stage labour?

Answer 5

Contractions become regular and 3 in 10
Waters break
Contractions are strong and need pain relief
If the patient is worried about anything

Question 6

How often will the midwife listen to the baby’s heart rate during established labour?

Answer 6

Every 15 mins

Question 7

What are the two alternatives for speeding up labour?

Answer 7

Breaking the patients waters

Oxytocin drip

Question 8

What risk factors indicate that an operative vaginal delivery is more common?

Answer 8

Primiparous women
Supine and lithotomy positions
Epidural anaesthesia

Question 9

What mnemonic is used to assess a CTG?

Answer 9

DR C BRAVADO
Define Risk
Contractions
Baseline RAte
Variability
Accelerations
Decelerations
Overall