Lesson 12 Flashcards
The ideal position is flexed with the occiput in thr R or L anterior quadrant
Fetal malposition
It occurs in 1/10 of all labors and during internal rotation the head must rotate through 135 degrees instead of 90 degrees
Occipitoposterior Position
Failure to rotate is termed as
Persistent Occiput Posterior
This malposition is common in women with android, anthropoid, or contracted pelvis
Occiputposterior position
Due to ineffective contractions or flattened bony pelvis
Occiput transverse position
Has the widest single diameter
Fetal head
What week does a fetus turn into a cephalic presentation
38
3 types of breach presentation
Complete
Frank
Footling
The manipulation of the fetus through the abdominal wall to a vertex presentation
External Cephalic Version
It is given via piggyback
Brethine
Retained second twin in a transverse lie shoulder presentation
Internal podalic version
A fetal head presenting at a different angle than expected is term Asynclitism
Face presentation
A rarest type, occurs in multipara or woman with relaxed abdominal muscles
Brow presentation
Labor progress is slowed with slower descent of the fetal head
Sincipital presentation/military presentation
Occurs in women with pendulous abdomens, uterine fibroid tumors, contraction of the pelvic, hydramnios,,,
Shoulder presentation / transverse lie
More than 1 part of fhe fetus represents
Compound presentation
Most commonly hand or arm prolapsing with the head
Compound presentation
Insufficient O2 supply to meet the demands of the fetus
Fetal distress
Early sign of distress (FHR)
> 160 bpm
Late sign of distress (FHR )
<110 bpm
A type of fetal distress “occurs early in labor before the head has fully descended due to cephalopelvic disproportion can cause head compression”
Early deceleration
A fetal distress which FHR slows following the peak of a contraction and slowly returns to baseline rate during resting phase
Late deceleration
A fetal distress which FHR repeatedly decelerates <90 bpm for over 60 sec before returning to baseline
Severe Variable Deceleration Pattern
For late deceleration: reposition the mother on her _____ side
Left
