Videos Flashcards
types of caescarian section
lower uterine segment incision (99%)
classical
indications for caseirian section
foetal distress
failure to progress or induce
malpression
preeclampsia severe
placenta praevia
twin prgnancy with no cephalic presenting twin
repeat cesarian
categories of a cesarian
emergency 30 mins
urgent within 90 mins
schedules no limit
elective no limit
risks of caesarian section
injury to structures, haemorrage, DVT, infection
average hospital stay 2-3 days
long term
- placenta praevia
antepartum stillbirth
uterine rupture
post op adhesions
low risk labor fetal monitoring
intermittant auscultation
high risk labor fetal monitoring
cardiotocography
doppler ultrasound frequency
1 min after a contraction
15 mins in first stage labor
5 mind in second stage labor
any abnormalities do CTG
indications for CTG monitoring
induction labor
post maturity
multiple pregnancy
underlying health conditions
pyrexia
antepartum
abnormal lie
epidural anaesthesia
DR C BRAVADO
determine Risk
contractions
BRAbasline rate
variability
accelerations
decellerations
overall
what determines signs fetal hypoxia
fetal blood sampling
PH >7.25 - repeat 1H
PH 7.21-7.24 - repeat 30 mins
PH< 7,2 - immediate deliver
indications for induction
hypertensive disroders
maternal diabetetes
prologned pregnancy
twin pregnancy
prelabor
foetal growth restriction
maternal request
previous stilbirth
contraindications for induction
malpresentation
placenta pravia
prolapsed umbilical chord
foetal distress
anatomicsl abnormalities
medications to induce labor
topical prostaglandin analogues
iv synthetic oxytocin
mechanical induction
balloon catheter
lesslikely to cause fetal distress due to hypertonicity
complications inducing labor
uterine hypertonicity
fotal distress
adverse effect drugs
failed induction
caesarian section
ruptured uterus
