Week 235 - Pregnancy 2 Flashcards
Week 235
What is Labetalol used for?
The treatment of high blood pressure.
Week 235
What are the foetal indications for operative vaginal delivery?
Foetal compromise. If it looks like baby is in crisis, call ghostbusters (AKA the guys with the suction cup and forceps)
Week 235
What are the Maternal indications for operative vaginal delivery?
Basically anything seriously bad with momma Bear
- Spinal cord damage or injury
- cardiac high risk or injury
- Hypertensive crisis AKA eclampsia
- Stuff like myasthenia gravis
(excuse the lack of my normal loquacity, just, it’s 3am and I’m at the point where I think I will tear my eyes out soon).
Week 235
What are the “inadequate progress” indications for operative vaginal delivery?
Nulliparous women:
- Lack of progress after 3 hours with regional anaesthesia
- Lack of progress after 2 hours without regional anaesthesia
Multiparous women:
- As above, but one hour less for each.
Week 235
What are C.A.B requirements for instrumental vaginal delivery?
- Cervix Fully dilated
- Appropriate analgesia
- Bladder empty
Week 235
What position is this? What is the best appropach for operative surgical delivery (method/tools used)?
Direct Occiput anterior
Can use forceps of ventouse
Week 235
What position is this? What is the best approach for operative surgical delivery (method/tools used)?
Direct Occiput posterior
Often accompanied by extension of the fetal head presenting part too large
Aim for rotation of 180º with the ventouse or with rotational forceps
Week 235
What position is this? What is the best approach for operative surgical delivery (method/tools used)?
Left Occiput anterior
Forceps or ventouse
Week 235
What position is this? What is the best approach for operative surgical delivery (method/tools used)?
Left occiput posterior
Often accompanied by extension of the fetal head presenting part too large
Aim for rotation of 180º with the ventouse or with rotational forceps
Week 235
What position is this? What is the best approach for operative surgical delivery (method/tools used)?
Left Occiput Transverse
Usually due to insufficient descent of head to cause rotation
Ventouse to achieve descent, and hopefully rotation
Rotational forceps to achieve rotation in situ and then descent
Week 235
What position is this? What is the best approach for operative surgical delivery (method/tools used)?
Right Occiput Anterior
Use Forceps or Ventouse
Week 235
What position is this? What is the best approach for operative surgical delivery (method/tools used)?
Right Occiput Posterior
Often accompanied by extension of the fetal head presenting part too large
Aim for rotation of 180º with the ventouse or with rotational forceps
Week 235
What position is this? What is the best approach for operative surgical delivery (method/tools used)?
Right Occiput Transverse
Usually due to insufficient descent of head to cause rotation
Ventouse to achieve descent, and hopefully rotation
Rotational forceps to achieve rotation in situ and then descent
Week 235
Significant vaginal and perianal trauma for th mother occurs with which operative vaginal delivery intervention?
Forceps.
Are you surprised?
Have you SEEN how HUGE they are? !
Week 235
What is the name given to this particular incision site for C section?
Pfannensteil
Week 235
What are the absolute indications for C section?
ABSOLUTE INDICATIONS
- Placenta praevia
- Severe antenatal fetal compromise
- Uncorrectable abnormal lie
- Previous classical caesarean section
- Pelvic deformity
Week 235
What are the relative indications for C section?
RELATIVE INDICATIONS
- Breech presentation
- Diabetes mellitus and other medical diseases
- Previous caesarean sections
- Older nulliparous women
Week 235
What is a dichorionic-diamniotic (DCDA) twinning?
When each baby of the twin has its own
placenta, there will be two chorions and two
amnions and it is known as dichorionic
-
diamniotic (DCDA) twinning.
Week 235
What is a monochorionic diamniotic (MCDA)
twinning?
When each baby of the twin pregnancy
has its own amniotic sac, but share a
single placenta, there will be one chorion
and two amnions and it is known as
monochorionic diamniotic (MCDA)
twinning.
Week 235
What is a monochorionic-monoamniotic
(MCMA) twinning?
When the twin babies share both the
amniotic sac and the placenta there will be
one chorion and one amniotic sac and it is
known as monochorionic
-
monoamniotic
(MCMA) twinning.