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6 Cards in this Set

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The 2nd stage of labour

Engagement (station position)


Descent


Flexion


Internal rotation of fetus (Left anterior occipital position normally)


Crowning(extension of head)


Restitution (realligns to LAO)


Internal rotation of shoulders (lines up transverse)


Anterior shoulders


Posterior shoulders


Lateral shoulders

Excitingly


Doing


Farts


In


Cars


Results


In


Awfully


Pongy


Leather

BISHOP Components and score required for labour

Dilatation


Effacement


Station


Consistency


Obstetric Length (Posterior/Middle/Anterior cervix)


>5 means the labour is going ahead

DESCO

Stages of Labour

Stage 1 - latent


Intermittent contractions. Dilating at <4cm


Woman can still talk




Stage 1 - Active




Regular 1 minute contraction every 5 minutes.


Dilating to 10 cm


Change in behavour




Stage 2


Dilated to 10cm (fully)


Uncontrollable urge to push


2 hours




Stage 3


In between baby and placenta


1 hour. Cut the chord

Post Partum Haemorhage


Amount


Causes

<500ml


Uterine atony


Trauma(perineal tears)


clotting disorder


Retained Placenta



(4)

Fetal Surveilance


Definitions of in a CTG


Normal rate


Definition of decellerations(4)

Variability: absent,reduced or normal


Acceleration 2 times every 20 minutes


110-160bpm


Decellerations:


late begins after each contraction begins and ends after each contraction ends


Variable, looks like a V


early-irr



3Ps of labour prevention

Power


Uterine contraction: frequency,duration,strength


Passengers


Baby


Lie,decent,size,attitude (flexion)


Passage(obstruction)


Placenta,fibroids,pelvic size and diameters

Power -uterine contraction aspects (3)


Passenger (4)


Passage (3)