Labour - Intrapartum care Flashcards
Monitoring and management of 1st stage of labor
Monitoring and management of 2nd stage of labor
Monitoring and management of 3rd stage of labor
History taking questions before delivery
Physical exam before delivery
Management of 1st stage of labor
Antepartum vaginal exam
- What to check
- How to perform
Procedures during crowning
Procedures during delivery of head, shoulder and body
Procedures after delivery and cord care
Newborn care plan
APGAR scoring
3rd stage of labor
- Timing
- Mechanism/ physiology
- Active management
Examination of placenta
Treatment for prolonged 3rd stage of labor
Antepartum risk factors for fetal distress and compromise during labor
Intrapartum risk factors for fetal distress and compromise during labor
Signs of fetal distress
Meconium stained liquor (MSL): thick and tenacious w/ dark green / bright green / black color
CTG signs of fetal compromise: see graphs below
- fetal tachycardia (>160bpm, or steady rise over course of labor)
- loss of baseline variability (<5bpm for >50 mins; >25bpm for >25 mins)
- recurrent late decelerations
- persistent variable decelerations
- fetal bradycardia (<100bpm, or <80bpm for severe, ≥ 3 mins)
Abnormal FBS result: pH <7.2, base excess (BE) <-10
- indicate severe metabolic acidosis → ↑risk of neurological injury beyond this level
CTG for fetal distress
Indications for continuous fetal heart monitoring
Causes of fetal tachycardia in CTG
Causes of fetal bradycardia in CTG
Causes of loss of baseline variability on CTG
Causes of recurrent and persistent decelerations on CTG
Fetal blood sampling
- Indications
- Contraindications
- Process
Fetal blood sampling
Result range
Fetal blood sampling
Management of fetal compromise
