Lesson 10 Flashcards
A loop of the umbilical cord slips down in front of the presenting part
Umbilical cord prolapse
Place the mother’s hips higher than head
Knee-chest position
This position cause the fetal head to fall back from the cord
Trendelenburg position
Used to reduce compression on the cord within infusion of 500 ml warmed NSS
Amnioinfusion
This can also be performed to women with oligohydramnios
Amnioinfusion
Administered to reduce uterine activity and pressure on the fetus
Tocolytic agent
Emergency Management of Cord Prolapse
Call for help
Organize delivery
Relieve pressure on the cord
Delivery
Narrowing of the anteroposterior diameter of the pelvis to less than 11 cm
Inlet contraction
Narrowing of the tranverse diameter
Outlet contraction
This is usually caused by rickets in early life or inherited pelvic size
Inlet contraction
“Done when inlet has a borderline measurement” and the fetal lie position is good
Trial Labor
Caused by lack of Vitamin D
Rickets
To determine whether labor will progress normally
Trial labor
Fetal head is too large to pass through the bony pelvis
Cephalic Disproportion
Is cephalic disproportion necessary for cs
Yes
Shoulder dystocia occurs on what stage of labor
2nd stage of labor
Ask patient to flex her thighs sharply on her abdomen to widen pelvic outlet and allow the anterior shoulder to be born
McRobert’s Maneuver
What is normal weight of the placenta
500 g
1/6 of the weight of fetus
What is the size/length of normal placenta
15 to 20 cm
1.5 to 3 cm thick
It has 1 or more accessory lobes connected to the main placenta
Placenta Succenturiata
The fetal side of the placenta is covered by some extent by the chorion
Placenta Circumvallata
The placenta is cup shaped with raised margins
Placenta Circumvallata
The cord is inserted marginally rather than centrally giving the “appearance of a tennis racket”
Battledore placenta
The cord, instead of entering the placenta directly, separates into small vessels that reach the placenta by spreading cross a fold of amnion
Velamentous insertion of the cord
The umbilical vessels of a velamentous cord insertion cross the cervical os and deliver before the fetus
Vasa previa
Unusually deep attachment of the placenta to the uterine myometrium
Placenta Accreta
