Vgainal Vs Cesarean

Question 1

What is the 1st stage of vaginal delivery?

Answer 1

Dilation of the cervix
Latent phase 0-6cm to active phase 6-10 cm

Question 2

Why is the 2nd stage of vaginal delivery?

Answer 2

Fetus passes through birthing canal

Question 3

What is the 3rd stage of vaginal delivery?

Answer 3

Delivery of the placenta

Question 4

What happens in active phase arrest ?

Answer 4

No cervical change after :
- 4hours of adequate uterine contractions
- 6 hours of inadequate uterine contractions

Question 5

Why is prolonged second stage ?

Answer 5

More than 3 hours in primiparas
More than 2 hours in multiparras

Lead to c section of fetal head is not engaged

Question 6

What is non reassuring fetal status ?

Answer 6

Heart beat too fat or too slow
Heart beat fails to increase during contraction
Heart beat fails to return to normal

Question 7

What are maternal indications for a c section ?

Answer 7

• previous c section
• obstructive lesions of the lower genital tract m
• transmissible maternal infections
• preexisting cardiac disease

Question 8

Pros and cons of vaginal delivery

Answer 8

Pros
- faster recovery
Cons
- increase of vaginal or perineal tearing
- weak pelvic floor muscles
- urinary or bowel incontinence

Question 9

Pros and cons of c section

Answer 9

Pros
- less pain
Cons
- increase risk of blood loss an infections
- bowel or urinary tract injured
- recovery takes longer pain in lower abdomen

Question 10

What is monoammniotic

Answer 10

Twins sharing one amniotic sac

Question 11

What is Diamniotic

Answer 11

Twins have separate amniotic sac