Normal Labour and Delivery (inc 3rd stage active Mx) Flashcards
1
Q
What are signs of placental separation?
A
- Gush of blood
- Lengthening of umbilical cord
- anterior cephalad mvt of uterine funds
- uterus becomes firmer and globular
2
Q
What does active management of the 3rd stage involve?
A
- Uterotonic administration prior to placental delivery
- Controlled cord traction after early cord clamping
- Uterine massage
3
Q
Complications of incorrect cord traction?
A
- Cord avulsion
- Uterine inversion
4
Q
What are the major complications the the third stage of labour?
A
- PPH
- Retained placenta
- Uterine inversion
5
Q
When should uterotinic agent first be administered? Why?
A
Following delivery of anterior foetal shoulder. So as not to exacerbated shoulder dystocia if present
