Ob Lec P2

Front 1

Preterm or Premature Labor

Back 1

Occurs before the end of 37wks aog

Front 2

Ritrodrin

Terbutaline

MgSO4

Betamethasone

Back 2

Tocolysis to halt labor

Front 3

Precipitate Labor

Back 3

Labor completed in <3hrs

Front 4

Precipitate Labor

Back 4

Contraction is so strong, rapidly occurring contractions

Front 5

Grand multiparty

Induction of oxytocin

Amniotomy

Large pelvis

Small fetus

Back 5

Causes Of Precipitate Labor

Front 6

Premature Separation of placenta LT. Hemorrhage

Infection

Laceration of the birth canal

Uterine rupture

Amniotic Fluid Embolism

Back 6

Maternal Complications of Precipitate Labor

Front 7

Inversion of the uterus

Back 7

Turning inside out of the uterus

Front 8

Inversion of the uterus

Back 8

Turning inside out of the uterus

Front 9

Complete or total inversion

Partial inversion

Back 9

Types of inversion

Front 10

Inversion of the uterus

Back 10

Turning inside out of the uterus

Front 11

Complete or total inversion

Partial inversion

Back 11

Types of inversion

Front 12

Complete or total inversion

Back 12

Visible outside the vaginal introitus

Life threatening

Front 13

Inversion of the uterus

Back 13

Turning inside out of the uterus

Front 14

Complete or total inversion

Partial inversion

Back 14

Types of inversion

Front 15

Complete or total inversion

Back 15

Visible outside the vaginal introitus

Life threatening

Front 16

Partial inversion

Back 16

Lie within uterine cavity

Not visible but palpated

Hampers or impede contractions

Front 17

Prolapse of the umbilical cord

Back 17

Umbilical cord tips in front of presenting part

Front 18

Prolapse of the umbilical cord

Back 18

Umbilical cord tips in front of presenting part

Front 19

ROA/LOA

Back 19

Ideal Position of Fetus

Front 20

Prolapse of the umbilical cord

Back 20

Umbilical cord tips in front of presenting part

Front 21

ROA/LOA

Back 21

Ideal Position of Fetus

Front 22

Occipitoposterior Position

Back 22

Rotate through 135 degree

Occur 1/10 of all labor

Front 23

Prolapse of the umbilical cord

Back 23

Umbilical cord tips in front of presenting part

Front 24

ROA/LOA

Back 24

Ideal Position of Fetus

Front 25

Occipitoposterior Position

Back 25

Rotate through 135 degree

Occur 1/10 of all labor

Front 26

Persistent occiput posterior

Back 26

Failure to rotate is termed?

Front 27

Prolapse of the umbilical cord

Back 27

Umbilical cord tips in front of presenting part

Front 28

ROA/LOA

Back 28

Ideal Position of Fetus

Front 29

Occipitoposterior Position

Back 29

Rotate through 135 degree

Occur 1/10 of all labor

Front 30

Persistent occiput posterior

Back 30

Failure to rotate is termed?

Front 31

Android

Anthropoid

Contracted Pelvis

Back 31

Occipitoposterior Position is coomon in women with?

Front 32

Prolapse of the umbilical cord

Back 32

Umbilical cord tips in front of presenting part

Front 33

ROA/LOA

Back 33

Ideal Position of Fetus

Front 34

Occipitoposterior Position

Back 34

Rotate through 135 degree

Occur 1/10 of all labor

Front 35

Persistent occiput posterior

Back 35

Failure to rotate is termed?

Front 36

Android

Anthropoid

Contracted Pelvis

Back 36

Occipitoposterior Position is coomon in women with?

Front 37

15-30, q10-15m

Back 37

Latent Phase

Front 38

Prolapse of the umbilical cord

Back 38

Umbilical cord tips in front of presenting part

Front 39

ROA/LOA

Back 39

Ideal Position of Fetus

Front 40

Occipitoposterior Position

Back 40

Rotate through 135 degree

Occur 1/10 of all labor

Front 41

Persistent occiput posterior

Back 41

Failure to rotate is termed?

Front 42

Android

Anthropoid

Contracted Pelvis

Back 42

Occipitoposterior Position is coomon in women with?

Front 43

15-30, q10-15m

Back 43

Latent Phase

Front 44

30-60s, q3-5m

Back 44

Active phase

Front 45

Prolapse of the umbilical cord

Back 45

Umbilical cord tips in front of presenting part

Front 46

ROA/LOA

Back 46

Ideal Position of Fetus

Front 47

Occipitoposterior Position

Back 47

Rotate through 135 degree

Occur 1/10 of all labor

Front 48

Persistent occiput posterior

Back 48

Failure to rotate is termed?

Front 49

Android

Anthropoid

Contracted Pelvis

Back 49

Occipitoposterior Position is coomon in women with?

Front 50

15-30, q10-15m

Back 50

Latent Phase

Front 51

30-60s, q3-5m

Back 51

Active phase

Front 52

60-90s, q2-3m

Back 52

Transitional Phase

Front 53

Prolapse of the umbilical cord

Back 53

Umbilical cord tips in front of presenting part

Front 54

ROA/LOA

Back 54

Ideal Position of Fetus

Front 55

Occipitoposterior Position

Back 55

Rotate through 135 degree

Occur 1/10 of all labor

Front 56

Persistent occiput posterior

Back 56

Failure to rotate is termed?

Front 57

Android

Anthropoid

Contracted Pelvis

Back 57

Occipitoposterior Position is coomon in women with?

Front 58

15-30, q10-15m

Back 58

Latent Phase

Front 59

30-60s, q3-5m

Back 59

Active phase

Front 60

60-90s, q2-3m

Back 60

Transitional Phase

Front 61

- prolonged active phase

- potential CS

- 3&4 degree laceration

Back 61

ROP/LOP MATERNAL RISKS

Front 62

Prolapse of the umbilical cord

Back 62

Umbilical cord tips in front of presenting part

Front 63

ROA/LOA

Back 63

Ideal Position of Fetus

Front 64

Occipitoposterior Position

Back 64

Rotate through 135 degree

Occur 1/10 of all labor

Front 65

Persistent occiput posterior

Back 65

Failure to rotate is termed?

Front 66

Android

Anthropoid

Contracted Pelvis

Back 66

Occipitoposterior Position is coomon in women with?

Front 67

15-30, q10-15m

Back 67

Latent Phase

Front 68

30-60s, q3-5m

Back 68

Active phase

Front 69

60-90s, q2-3m

Back 69

Transitional Phase

Front 70

- prolonged active phase

- potential CS

- 3&4 degree laceration

Back 70

ROP/LOP MATERNAL RISKS

Front 71

- cord prolapse

- caput formation

- molding

Back 71

ROP/LOP FETAL RISKS

Front 72

I. Breech presentation

II. Vertex malpresentation

a. Face presentation

b. Brow presentation

c. Sincipital presentation (military attitude)

III. Shoulder presentation

IV. Compound presentation

Back 72

FETAL MALPRESENTATION

Front 73

38 wks

Back 73

When breech pres. Turn into cephalic presentation?

Front 74

38 wks

Back 74

When breech pres. Turn into cephalic presentation?

Front 75

Complete Breech

Frank Breech

Footling Breech

Back 75

3 types of breech pres.

Front 76

External Cephalic Version

Back 76

Manipulation of the fetus, vertex pres.

Front 77

Face PresentationASYNCLITISM

Back 77

A fetal head presenting @ a different angle than expected is termed _____(face and brow)

Front 78

Prolonged labor

CS

Bruising of Infant, facial edema

Back 78

Risk of Facial Presentation

Front 79

BROW PRESENTATION

Back 79

▫ Rarest type, w/relaxed abdominal muscle

▫ jammed in the brim of the pelvic

▫ CS

▫ extreme ecchymotic bruising of face

Front 80

BROW PRESENTATION

Back 80

▫ Rarest type, w/relaxed abdominal muscle

▫ jammed in the brim of the pelvic

▫ CS

▫ extreme ecchymotic bruising of face

Front 81

SINCIPITAL PRESENTATION (Military Attitude)

Back 81

Slow labor and descent

Front 82

➔ Occurs in women w/ pendulous abdomens, uterine fibroid tumors, contraction of the pelvic brim, congenital anomalies of the uterus, hydramnios, fetus w/ hydrocephalus or anything that prevents engagement, prematurity, multiple gestation or short umbilical cord

Back 82

SHOULDER PRESENTATION (transverse lie)

Front 83

➔ Occurs in women w/ pendulous abdomens, uterine fibroid tumors, contraction of the pelvic brim, congenital anomalies of the uterus, hydramnios, fetus w/ hydrocephalus or anything that prevents engagement, prematurity, multiple gestation or short umbilical cord

Back 83

SHOULDER PRESENTATION (transverse lie)

Front 84

SHOULDER PRESENTATION (transverse lie)

Back 84

Uterus is more horizontal

Front 85

Compound Presentation

Progress

Size

Presence of FDistress

Back 85

- more than 1 part is present

- arm and hand, with head

- depends on

_

-

-

Front 86

Late deceleration pattern

Uteroplacental insufficiency

Back 86

Ominous sign

Fhr follow the peak

Dt___