Obstetrics Flashcards
MNEMONIC for other factors that might indicate instrument assisted delivery
A.F.O.R.C.E.P.S
Define
F.O.R.C.E.P.S
Instrument assisted delivery indication mnemonic
A at/Above ischial spine F fully dilated cervix O OA over (OP kellands + ventouse) R Ruptured Membranes C cephalic presentation E empty bladder P pain relief S
Forceps delivery indication
Indications for a forceps delivery include
fetal distress 2nd stage
failure to progress to 2nd stage
maternal distress 2nd stage
breech baby
Spot DIagnosis
Lady continues to bleed post-delivery and has lost an estimated 1,500 ml of blood
Post partum haemorrage
Post partum haemorrage definition
blood loss of > 500mls and may be primary or secondary
Initial assessment following diagnosis of Post Partum haemorrhage
ABCDE
Initial physical procedure to reduce bleeding in post partum haemorrhage
Bimanual uterine compression
+
catheter
Initial medication to reduce bleeding in post partum haemorrhage and how would you give it
Syntocinon slow IV infusion 5 units
- ergometrine if no HTN
- carboprost
- misoprostol 1000 mcg rectal
High risk groups for hypertension during pregnancy
pre existing medical condition that affects BP
previous HTN in pregnancy
CKD
T1/2DM
HTN differentials for pregnant women
the three Ps
Pre existing
Pregnancy induced
Pre eclampsia
Emergency
Shoulder dystocia manouvres
1st McRoberts manouvre
2nd Rubin manouvre
3rd Woodscrew manouvre
McRoberts
knees to chest whilst supine
Rubin
push posterior shoulder
Woodscrew
Rotate baby 180 degrees by placing hand in vagina
how many stages of labour are there
3
