TPL and PPROM Flashcards
1
Q
TPL tests
A
Fetal fibronectin - to test protein that adheres amniotic sac to uterus Cervical dilation Contractions Speculum exam - HVS/LVS TVUS CTG
2
Q
PPROM tests
A
History
Speculum exam - sterile!! Pool of fluid in vagina/posterior forbid
TVUS
Nitrazine test - pH detection, the more blue the more likely ROM
Fern test - ferning crystalline pattern of fried amniotic fluid
3
Q
In suspected labour/already in first first stage, always ask:
A
Vitals of mother
CTG for baby
Cervix dilatation and contractions to give an idea of when it’ll happen
4
Q
Prolonged first stage of labour
A
More than about 20 hours in primigravida (<0.5cm/hr over 4 hours)
More than 14 hours in a multigravida (<0.5cm/hr or slowing of progress)
5
Q
Prolonged second stage of labour
A
> 2 hours in primigravida
>1 hours in multigravida
6
Q
Prolonged third stage of labour
A
> 30 mins
7
Q
Questions to ask for TPL/PROM/Labour
A
Gestation and parity ROM? Cervix dilatation Contractions Pain or bleeding Mum - obs, ANC Bub - CTG
