Important Factors in the Evaluation of the Patient with Abnormal Labour
1 . Review the labour record
2 . Assess maternal status
• Vitals
• Pain management
• Contraction pattern
• Membranes: intact vs ruptured
• Cervical dilatation and effacement
• [...]
3 . Assess fetal status
• Fetal heart
• Fetal station
• Fetal presentation and position
4 . Determine best course of action
• If membranes are not ruptured then do Artificial Rupture of Membranes (AROM)
• Offer pain relief: endogenous catecholamines can inhibit uterine contractility. Ensure adequate hydration
• Oxytocin infusion to improve uterine contractility
• If all the above tried consider operative delivery (i.e. CS or assisted vaginal birth if fully dilated)
Answer
Pelvic architecture
Tags
#obgyn
Question
Important Factors in the Evaluation of the Patient with Abnormal Labour
1 . Review the labour record
2 . Assess maternal status
• Vitals
• Pain management
• Contraction pattern
• Membranes: intact vs ruptured
• Cervical dilatation and effacement
• [...]
3 . Assess fetal status
• Fetal heart
• Fetal station
• Fetal presentation and position
4 . Determine best course of action
• If membranes are not ruptured then do Artificial Rupture of Membranes (AROM)
• Offer pain relief: endogenous catecholamines can inhibit uterine contractility. Ensure adequate hydration
• Oxytocin infusion to improve uterine contractility
• If all the above tried consider operative delivery (i.e. CS or assisted vaginal birth if fully dilated)
Answer
?
Tags
#obgyn
Question
Important Factors in the Evaluation of the Patient with Abnormal Labour
1 . Review the labour record
2 . Assess maternal status
• Vitals
• Pain management
• Contraction pattern
• Membranes: intact vs ruptured
• Cervical dilatation and effacement
• [...]
3 . Assess fetal status
• Fetal heart
• Fetal station
• Fetal presentation and position
4 . Determine best course of action
• If membranes are not ruptured then do Artificial Rupture of Membranes (AROM)
• Offer pain relief: endogenous catecholamines can inhibit uterine contractility. Ensure adequate hydration
• Oxytocin infusion to improve uterine contractility
• If all the above tried consider operative delivery (i.e. CS or assisted vaginal birth if fully dilated)
Answer
Pelvic architecture
If you want to change selection, open document below and click on "Move attachment"
Open it ith Abnormal Labour
1 . Review the labour record
2 . Assess maternal status
• Vitals
• Pain management
• Contraction pattern
• Membranes: intact vs ruptured
• Cervical dilatation and effacement
• <span>Pelvic architecture
3 . Assess fetal status
• Fetal heart
• Fetal station
• Fetal presentation and position
4 . Determine best course of action
• If membranes are not ru
Summary
status
not learned
measured difficulty
37% [default]
last interval [days]
repetition number in this series
0
memorised on
scheduled repetition
scheduled repetition interval
last repetition or drill
Details
No repetitions
Discussion
Do you want to join discussion? Click here to log in or create user.