oxytocin for non- pregnancy?
oxytocin is only for pregnancy related bleeding, hemorrhage, lack of contractions. never for non-pregnancy things!!!
what is adequate contractions
3-4cms/ 10 mins or 200 MVUs
is arrested zero or adequate contractions?
arrested= adequate contractions
When does the active stage of labor start?
At 6 cm dilation.
What is the expected dilation rate during active labor?
At least 1 cm every 2 hours.
Define protracted labor.
no contractions at all! Dilation of less than 1-2 cm with slow cervical change.
What characterizes arrested labor?
No cervical change for ≥4 hours with contractions. or 6 hours with inadequate contractions. if there's no contractions, i give u more time to get them
What is the treatment for arrested labor?
C-Section.
What constitutes inadequate contractions in arrested labor?
Less than 3-4 contractions per 10 minutes for ≥6 hours.
when does second stage of labor start?
at 10 cms... completion of cervical dilation and effacement
What is the typical duration for nulliparous mothers during the second stage of labor?
3-4 hours.
what position is favorable for baby coming out in second stage?
left occiput anterior! It helps the baby's skull press on the cervix, encouraging dilation and effacement.
How long might multilliparous women with an epidural push for in second stage of labor
3 hours with or 2 hours without
What is Left Occiput Anterior (LOA) position?
The baby's occiput is facing the anterior of the mother's body.
what is the 3rd stage of labor
placenta is out
What is a key diagnostic criterion for pre-eclampsia?
Proteinuria = 2+
BP: 140/90
How long might nulliparous women with an epidural push for in second stage of labor
4 hours with an epidural.
What defines severe hypertension in pre-eclampsia?
BP: ≥160/110 mmHg
What is the treatment for pre-eclampsia in gestations <32 weeks?
What treatment is indicated for complicated ROM?
Delivery
what are the drugs used for fibroids?
_______ → shrink by ↓ estrogen
_______ → bleeding control
_______ → heavy menses reduction
IUD (LNG) → bleeding control
what are the drugs used for fibroids?
GnRH agonists (leuprolide) → shrink by ↓ estrogen
Progestin therapy or OCPs → bleeding control
Tranexamic acid → heavy menses reduction
IUD (LNG) → bleeding control
What should be administered for ROM >34 weeks?
What is another name for uterine leiomyoma?
Fibroids
What is a common symptom of uterine leiomyoma?
What medicine stabilizes the clot in uterine leiomyoma?
Tranexamic Acid
Who should avoid taking OCPs (oral contraceptive pills)?
People with migraines
Who is endometrial ablation in fibrioids typically avoided in?
Reproductive age group
oxytocin for non- pregnancy?
oxytocin is only for pregnancy related bleeding, hemorrhage, lack of contractions. never for non-pregnancy things!!!
Define protracted labor.
no contractions at all! Dilation of less than 1-2 cm with slow cervical change.
What characterizes arrested labor?
No cervical change for ≥4 hours with contractions. or 6 hours with inadequate contractions. if there's no contractions, i give u more time to get them
What constitutes inadequate contractions in arrested labor?
Less than 3-4 contractions per 10 minutes for ≥6 hours.
what position is favorable for baby coming out in second stage?
left occiput anterior! It helps the baby's skull press on the cervix, encouraging dilation and effacement.
How long might multilliparous women with an epidural push for in second stage of labor
3 hours with or 2 hours without
What is Left Occiput Anterior (LOA) position?
The baby's occiput is facing the anterior of the mother's body.
How long might nulliparous women with an epidural push for in second stage of labor
4 hours with an epidural.
what are the drugs used for fibroids?
GnRH agonists (leuprolide) → shrink by ↓ estrogen
Progestin therapy or OCPs → bleeding control
Tranexamic acid → heavy menses reduction
IUD (LNG) → bleeding control
Active Phase - Starts at 6 cm dilation. - Cervical dilation of ≥1 cm every 2 hours.
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