Normal Labour and Birth Flashcards
1
Q
what is the definition of normal labour
A
the process in which the foetus, placenta and membranes are expelled during 37-42 weeks
spontaneous vaginal birth
2
Q
what initiates labour
A
not sure paracrine and autocrine signals cervix softens myometiral tone changes prostaglandins and oxytocin increases
3
Q
what is stage 1 of labour
A
latent stage
complete when cervix is fully dilated
0.5-1cm per hour
4
Q
what is stage 2 of labour
A
full cervical dilation to the birth of the baby
primigravida expected in 2 hours
multigravida expected in 1 hour
5
Q
what is stage 3 of labour
A
the time from birth of the baby to expulsion of placenta and membranes
if not after 60 mins take to theatre
6
Q
what is involved in monitoring pregnancy
A
maternal observations abdominal palpation PV asucaltion of fetal heart palpation of uterine muscle CTG
7
Q
what types of longitudinal lie is there
A
breech
cephalic
8
Q
what are mechanisms of analgesia in labour
A
breathing massage paracetamol entonox morhphin, diamorphine epidural
