Normal Birth and Labour

Question 1

what are the hormone variations that take place in order to initiate labour?

Answer 1

progesterone decreases

oxytocin and prostaglandins increase

Question 2

key physiological changes in woman that allows for labour to start:

Answer 2

cervix softens

myometrial tone changes (to allow for coordinated contractions)

progesterone decreases and oxytocin and prostaglandins increase

Question 3

when is stage one of labour complete?

Answer 3

when the cervix is fully dilated

Question 4

analgesia in labour

Answer 4

entanox (nitrous oxide and oxygen)

opiods (morphine, dimorphine)

epidural

paracetamol/ TENs/ massage

move patient around to relieve pain

Question 5

what is stage 2 of labour?

Answer 5

from when the cervix is dilated (10cm) to when the baby is born

Question 6

what is stage 3 of labour?

Answer 6

from the birth of the baby to the expulsion of the placenta and membranes

Question 7

how do you monitor the babies heart?

Answer 7

cardiotocography (CTG monitoring)

Question 8

how do you monitor the babies heart?

Answer 8

cardiotocography (CTG monitoring)

Question 9

3 main lies of the baby

Answer 9

transverse

longitudinal

oblique

Question 10

how do you continuously monitor the babies heart?

Answer 10

continuous cardiotocography monitoring (CTG)

Question 11

extonox is what?

Answer 11

inhaled nitric oxide and oxygen