Term
|
Definition
| difficult labor or child birth w failure to progress |
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Term
|
Definition
1. Power
2. PAssenger
3. Passage |
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|
Term
| what is the appropriate number of contactions during labor? |
|
Definition
| 3 in 10 minutes is adequate |
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|
Term
|
Definition
POWER
(# of ctx in 10min) X (avg intensity)
normal is >/= 200MVUs |
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Term
| what goes into assessing the "passenger" |
|
Definition
1. estimated fetal weight
2. fetal lie (longitudinal)
3. presentation (cephalic)
4. Position
5. Attitude (posture of fetal vertebral column)
6. any fetal anomalies |
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|
Term
| list 4 presentations of the passenger: |
|
Definition
1. occiput (desired)
2. sincipital
3. brow
4. face |
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|
Term
| 3 breech passennger presentations: |
|
Definition
1.Frank (butt first)
2. Complete (legs crossed)
3. footling (foot first) |
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|
Term
| 4 risks for breech presentations: |
|
Definition
1. ROM
2. placental abruption
3. Cord accident
4. uterine rupture |
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|
Term
| 5 conditions associted with breech presentations: |
|
Definition
1. multiple pregnancies
2. polyhydramnios
3. hydrocephaly/ancephaly
4. uterine abnormalities
5. prematurity |
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|
Term
| 3 maternal risks of prolonged labor: |
|
Definition
1. infections
2. lacerations
3. uterine atony w possible hemorrhage |
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|
Term
| 4 fetal risks assoc w prolonged labor |
|
Definition
1. infection
2. asphyxia
3. trauma
4. meconium aspiration |
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|
Term
| how is bishop score used? |
|
Definition
| cervix/fetal station is assessed and assigned a score; score determines liklihood of successful induction |
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|
Term
| optimal gestation for induction of labor: |
|
Definition
|
|
Term
| 5 indications for induction of labor: |
|
Definition
1. preeclampsia
2. prolonged pregnancy
3. intrauterine growth restrictions
4. PROM
5. chorioamnionitis (bacterial inf of fetal membranes) |
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|
Term
| whit a bishop score of <5 there is an increased risk of: |
|
Definition
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|
Term
| 6 pharmacologic/mechanical methods of cervical ripening for inducing labor |
|
Definition
1. Cervidil (intravaginal PGE2)
2. Cytotec (intravaginal PGE1)
3. Laminaria tents (osmotic dilators)
4. placement of catheters
5. Oxytocin IV
6. Artificial rupture of membranes |
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|
Term
| 4 complications w oxytocin use |
|
Definition
1. hyperstimulation (fetal ischemia)
2. rupture of uterus (rare)
3. severe water intoxication (rare)
4. uterine muscle fatigue/atony increasing risk for post partum hemorrhage |
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|
Term
| maternal mortality rate: vaginal birth vs. C-sections |
|
Definition
| C-section = 2-4X the mortality rate of vaginal births |
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|
Term
| 5 indications for C-section |
|
Definition
1. placenta previa
2. abruptio placentae
3. prolapse of the umbilical cord
4. uterine rupture
5. breech presentation |
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|
Term
| methods of fetal monitoring during delivery: |
|
Definition
1. auscultation of fetal HR
2. continuous ECG monitoring of fetal HR/rhythm and contractions
3. internal monitoring w fetal scalp electrode (ECG,HR,rhythm,scalp blood pH) |
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|
Term
| 4 clinical conditions associated with fetal distress in labor: |
|
Definition
1. umbilical cord conditions (
2. uterine conditions (tetanic ctx)
3. fetal conditions (anemia/infection)
4. Maternal Conditions (HTN) |
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|
Term
|
Definition
|
|
Term
| things that cause decreased fetal HR from labor |
|
Definition
| contractions place compression on cord or head leads to hypoxia, leads to decel |
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|
Term
| 4 fetal hear rate patterns: |
|
Definition
1. variable decelerations
2. early decelerations
3. late decelerations
4. sinusoidal pattern |
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