Pregnancy Flashcards
What is stage 2 of labour?
Full dilation –> delivery
<2 hours without anaesthesia.
-propulsive= propelled by uterine contractions (until head hits the pelvic floor)
-Expulsive= baby expelled by the pelvic floor
What does stage 1 of labour entail?
Onset–> cervix fully dilated
- latent stage= onset- 4cm <14hrs multigrav
What is stage 3 of labour?
After birth–> <30mins
What are the cardinal signs of labour?
Effacement= incorporation of hone internal so and cervical canal into the lower uterine segment
Dilation= increase in diameter of internal os
Contractions
Descent of the head
“Show” operculum= blood stained mucus discharge
Waters breaking
What is used to ripen the cervix if it is not sufficiently softened?
Prostaglandins inserted vaginally
Why is anaemia common in pregnancy?
Fe requirement increases 2-3x and folate requirement increases 10-20x
What can bleeding be a sign of?
Placental Praeria- placenta in the lower uterine segment
Placental abruption- placental lining separates from the uterus
What is pre-eclampsia?
Raised BP, proteinuria during pregnancy–> oedema this can affect the foetus and eclampsia can cause seizures/strokes
What does syntocinon do?
Synthetic oxytocin, causes Effacement and rhythmic uterine contractions
What does ergometrine do?
Used in postpartum haemorrhage and induces titanic contractions
What does syntometrine do?
Combo of syntocinon and ergometrine and used in the 3rd stage of labour?
Obstetric cholestasis, what is it?
Increased bile acids in the blood, itching, thirst.
Spontaneous recovery post delivery
Gestational diabetes
Woman previously undiagnosed with diabetes exibit increased glucose during pregnancy.
Insulin receptors don’t function properly due to pregnancy hormones
Causes Macrosomic babies
