partuition Flashcards

1
Q

what is a pre term birth

A

22- 37 completed weeks

before 37 weeks

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2
Q

what is the estimated date of delivery

A

40 weeks or 280 days from the first day of the last menstrual period

is a RANGE not a fixed date

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3
Q

what is the actual fetal age compared with the gestastional age

A

the foetal age is two weeks less since the date of conception is not usually known

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4
Q

what does at term delivery mean

A

between 38 and 42 weeks

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5
Q

what is post term

A

beyond 42 weeks

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6
Q

what is the first trimester

A

up to 12 weeks (3 months)

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7
Q

what is the second trimester

A

12 - 27 weeks

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8
Q

what is the third trimester

A

28 weeks onwards

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9
Q

what is the gestational age

A

from the first day of the woman’s last menstrual period

age of pregnancy rather than foetus

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10
Q

what is quickening

A

the moment when the women starts to perceive foetal movements

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11
Q

how can gestational age be estimated

A

cycle length
memory
type of contraception used
size of the uterus

first trimester ultrasound biometru
gestational sac volume
crown rump length

second trimester
head circumference
biparietal diameter
femur length

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12
Q

how is the pregnant state maintained

A

uterine quiescence
gap junction expression down regulated
oxytocin down regulated
relaxin

collagen fibres predominate over smooth muscle
glycosaminogen ground substance
amnion and chorion membranes intact
low level of prostaglandin biosynthesis

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13
Q

what is cervical ripening

A

prostaglandin increase
increasing water content of glycosaminogen matirx
myometrial activity results in effacement and thinning of the cervix
relaxin upregulates matrix metalloproteinases

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14
Q

what are Braxton Hicks

A

un coordinated non painful contractions

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15
Q

what is relaxin

A

produced by the corpus luteum, placenta and decidua
contributes to uterine quiescence
release increases immediately before labour
softens and helps cervix dilate during labour
softens ligaments by affecting collagen
not just a pregnancy hormone
pregnant women vulnerable to ligament strain

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16
Q

what structures form relaxin

A

CL, placenta and decidua

17
Q

what hormone contributes to uterine quiescence during pregnancy and is released immediately before labour

A

relaxin

18
Q

what is cervical effacement

A

thining

cervix is normally 4 cm long

19
Q

what is cervical ripening

A

softening

20
Q

what is the latent phase of labour

A

effacement and ripening
onset of contractions
cervix is not yet dilated

21
Q

what is the first stage of pregnancy

A

progressive increase in frequency and strength of contractions
cervical dilation
descent of presenting part
rupture of membranes

22
Q

what is the second stage of labour

A
cervix fully dilated
presenting part descends
urge to bear down 
ferguson reflex
delivery
23
Q

what is the ferguson reflex

A

positive feedback mechanism
pressure on cervix and vagina causes release of oxytocin which cause uterine contractions which cause pressure on the cervix etc

24
Q

what is the third stage of labour

A

expulsion of placenta and membranes

25
Q

what is the word for a first delivery

A

primiparity

primagravida is first pregnancy

26
Q

what is lightening

A

when the baby drops down further in to the pelvis

happens 2 -4 weeks prior to delivery in primiparous women
may not happen in multiparous women

27
Q

what are the stages of delivery

A

engagement and flexion of the head
internal rotation
delivery by extension of the head
delivery of the shoulders

28
Q

what is presentation

A

97% are cephalic

3% are breech (buttocks first)

29
Q

what is intrapartum monitoring

A

maternal vital signs increase as labour progresses
can be measured with a partograph

ausculation of fetal heart rate and pattern
electrical monitoring with cardiotocography
for fetal heart and uterine contractions
inspection of fluid once membranes have ruptured

30
Q

what hormone contributes to cervical ripening

A

relaxin