QUESTIONS AND ANSWERS.
what pre-term delivery interventions can be done?
External cephalic version, induction and augmentation of labor, cervical ripening
what delivery interventions can be done?
FAVD, VAVD, C/S, VBAC
what is an ECV indicated for?
indicated for malpresentation (breech, transverse lie, vertex)
what criteria must be met in order to ECV to take place
singleton, adequate fluid, reactive NST, not engaged in pelvis
what are the contraindications for ECV
suspected IUGR, abnormal FHR tracing (late decels), prior classical C/S, nuchal cord, bleeding,
uterine malformation
what nursing care is done for ECV
fasting 8 hours prior, ultrasound, EFM, consent, IV tocolytics, analgesia, supine
what is induction of labor
stimulate uterine contractions when spontaneous contractions fail to result in progressive
cervical dilation or descent of fetus
when is IOL indicated
maternal conditions (DM, HTN, cholestasis), fetal conditions (IUGR< oligohydramnios, fetal
demise), chorioamnionitis, post-term gestations, elective
what are the contraindications for IOL
complete placenta previa, abnormal fetal lie, previous C/S, previous myomectomy, active
genital herpes, cephalopelvic disproportion
what surgical methods are used to augment or induce labor
stripping amniotic membranes, amniotomy
advantages of amniotomy
won't overstimulate uterus