Abnormal labour ppt

Question 1

what is normal labour?

Answer 1

Spontaneous onset of contractions at term with a
normally grown fetus
in
cephalic presentation
progressing to
full dilatation
with a
spontaneous vaginal delivery
of a
live infant

Question 2

Stages of labour?

Answer 2

Latent phase of labour:
–effacement + 0-3cm dilation
Active phase of labour:
–3-10cm dilation
–0.5 -1.0 cm / hr (primip vs multip)
Transition
2nd stage of labour:
–full dilation (10cm) to delivery
3rd stage of labour:
–delivery of placenta

Question 3

Some abnormalities in labour?

Answer 3

Prolonged rupture of membranes
Prolonged pregnancy with induction of labour
Intra-uterine growth restriction / macrosomia
Abnormal presentation
Failure to progress
Operative vaginal delivery
Retained Placenta

Question 4

What is prelabour/prolonged ROM?

Answer 4

Spontaneous ROM at term without the onset of spontaneous contractions

happens in up to 19% of pregnancies, and 86% of women go into spontaneous labour within 24 hours

Question 5

What are risks of PROM?

Answer 5

maternal/neonate infection

prolapsed cord

Question 6

What are risks of prolonged pregnancy?

Answer 6

stillbirth

meconium aspiration

Question 7

What are methods of IOL?

Answer 7

prostaglandins to ripen cervix and prime uterus for contractions
artificial rupture of membrances
syntocinon infusion

Question 8

How can abnormal presentation be managed?

Answer 8

External cephalic version

elective CS

Question 9

Failure to progress in labour is assessed by?

Answer 9

Abdo palpation for engagement of fetal head (5/5 to 0/5)

Vaginal exam for descent of fetal head (Station is -3 to +3) and fetal position (OA, OP)