Malpresentation Flashcards
1
Q
What are the 3Ps of causes of prolonged labour?
A
- Power
- Passenger
- Passages
2
Q
What does the power P of prolonged labour mean?
A
- power low in nulliparous women
- atony - if treated with too much syntocinon
3
Q
What is the passages P of prolonged labour about?
A
- pelvic abnormalities
- soft tissue: Cervix and vagina
- cervical dilation depends on force of contractions and pressure from foetal head
- vaginal canal needs to be overcome may require episiotomy
4
Q
What is the passenger P of prolonged labour about?
A
- size of bab
- lie of bab - longitudinal good, transverse or oblique bad
- presentation - which way are they facing - head first good, brow and face = greatest diameter
5
Q
How may you encourage cervical ripening?
A
- prostaglandins
- oxytocin
6
Q
What do you do if a women is not progressively dilating but is at 5cm?
A
- AROM
- wait 2 hours to see if that increases dilation
- if not - IV oxytocin
- if still not at 12-16 hours or bad CTG or placental abruption - C-section
7
Q
When can you do external cephalic version?
A
36-37 weeks
