managment? - aashi

[ArchivalUser]

I THINK IN FIRST CASE CONTRACTION ARE INADEQATE I WILL LIKE TO GIVE OXYTOCIN BECAUSE CONTRACTION EVERY 8 MINUTES./



IN 2 ND CASE I WILL GO FOR AMNIOTOMY SINCE HEAD IS ENGAGED/CERVIX 4 CM DILATED AND CONTRACTION ARE COMING EVERY 4 MT.

[ArchivalUser]

1.oxytocin
2.U/s because i think its better to know lie ..may be we need CS

[ArchivalUser]

I thik it is time now that aashi tells us the right answers and the explanations...

[ArchivalUser]

hsar thses r nbme q ,i dont have right ans
1.i guessed i.v oxytocin looking at contractions rate

2. i choose amniotomy but now i feel u/s is better to know lie

[ArchivalUser]

-- yes thanks

when lie canot be determined why you assume that engagement has occured. you go for usg and know better about the patient and proceed. it is the best answer to second question.


but about first question it is in zero position position --what does it mean

what is the prolonged labour in multigravida?

when do you give oxytocin?

when do you do amniotomy//
WHENYOU DO VACCUM

[ArchivalUser]

1 oxytocin as contractions are hypotonic.
2.usg because we must know the lie before rom.


0 position means fetal head is at level of ischial spines
prolonged labour in multi-
latent phase >14hrs
active ph <1.5cm/hr
give oxytocin if inadequate contractions
amniotomy-i think we do it when cervix is fully dilated and head is visible-crowning.
vacuum-whenlong stage2, avoid maternal pushing,fetal distress