Midwifery Teaching Flashcards
Pelvic Outlet
The outlet is diamond shaped
Antero-posterior diameter …
Transverse diameter …
Pelvic Outlet
The outlet is diamond shaped
Antero-posterior diameter largest
Transverse diameter smallest
Pelvic Inlet
The brim is oval except where the promontory projects
Anterior-posterior diameter …
Transverse diameter …
Pelvic Inlet
The brim is oval except where the promontory projects
Anterior-posterior diameter smallest
Transverse diameter largest
Diameters of the foetal skull:
- Suboccipitobregmatic(9.5cms) = OA position
- Occitopitofrontal( 11cms) = OP position
- Supraoccipitomental( 13.5cms) = Brow
- Submentalbregmatic(9.5cms) = Face
Suboccipitobregmatic(..cm) = OA position
Suboccipitobregmatic(9.5cms) = OA position
Occitopitofrontal(…cm) = OP position
Occitopitofrontal( 11cms) = OP position
Supraoccipitomental(…) = Brow
Supraoccipitomental(13.5cms) = Brow
Submentalbregmatic(….) = Face
Submentalbregmatic(9.5cms) = Face
Transition from first to second stage of labour
Suddenly more present
Wants everything to STOP
Surge in Adrenaline
Muscles in the uterus change over jobs
Long muscles contract and round muscles relax 1ststage
Round muscles contract and long muscles relax 2ndstage
Second stage of labour
Bearing Down
Pushing
‘Ring of Fire’
Urge to open bowels
Stinging
‘Back opening’
Established labour is when your cervix has dilated to about … and regular contractions are opening your cervix.
Established labour is when your cervix has dilated to about 4cm and regular contractions are opening your cervix.
Electronic partogram
What information is included in a partogram?
Name
Parity
Risk factors
Time labour started
Time membranes ruptured
Pain relief
Posture
Fluid intake
Urine output
Fetal heart rate
Maternal observations
Cervical dilation
Station of presenting part
Medication
Contractions (frequency/strength)
Quality of amniotic fluid (e.g. membranes intact, clear, blood stained, meconium)
What is meconium?
Meconium is the first feces, or stool, of the newborn.
Thick, dark green, sticky
When should the newborn pass meconium?
Meconium should be passed ideally within the first 24 hours and less frequently within the first 48 hours.
Delayed meconium - most common disease causing delay?
In neonates, Hirschsprung disease is the most commonly considered among diseases that cause lower intestinal obstruction and delayed passage of meconium.
