Labour and bishops score

Question 1

1st stage of labour

Answer 1

passive: contractions to 6cm dilation, 80% effaced
active: 6cm to full dilation, 100% effaced

Question 2

what is the 2nd stage of labour controlled by?

Answer 2

3 P’s (Power, Passenger, Passage)

Question 3

what does the baby do in the second stage?

Answer 3

flexed fetal head (suboccipitobregmatic diameter)

Question 4

mechanism of labour, steps

Answer 4

DEFIERE

1. descent
2. engagement
3. flexion
4. internal rotation
5. extension
6. restitution
7. expulsion

Question 5

what happens in descent?

Answer 5

-5 station to 0
foetus moves from pelvic inlet to ischial spines
leads to engagement

Question 6

what happens in flexion?

Answer 6

chin against chest as reaches pelvic floor

Question 7

what happens in internal rotation?

Answer 7

fetal shoulders rotate by 45 degrees

so widest part of shoulders = widest part of pelvic inlet

Question 8

what happens in extension?

Answer 8

head passes under symphisis pubis

emerges from vagina

Question 9

when does restitiution happen? what is it?

Answer 9

after delivery of head

head rotates so shoulders can pass through

Question 10

aspects of bishops score

Answer 10

position
consistency
effacement
dilation
station

Question 11

points score for position

Answer 11

0: posterior
1: middle
2: anterior

Question 12

points score for consistencey

Answer 12

0: firm
1: medium
2: soft

Question 13

points score for effacement

Answer 13

0: 0-30%
1: 40-50%
2: 60-70%
3: 80%+

Question 14

points score for diltatation

Answer 14

0: closed
1: 1-2cm
2: 3-4cm
3: 5cm

Question 15

points score for station

Answer 15

0: -3
1: -2
2: -1/0
3> +1/+2