moharm
Forum Newbie
Topics: 1
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27 year old primarygravida at 39 week gestation , in labour for 10 hours. Over the past 3 hr cervix has remained 90% effaced and 8 cm dilated. Contraction occur every 8 min. Fetal heart rate is 140/min. Her temp is 37 C, B.P 120/80 , pulse 80/min, RR 20/min. Vertex is at left occiput anterior and at 0 station. What is the next appropriate step?
a. C-section
b. Vaccum delivery
c. Oytocin augmentation
d. Rotation of head to occiput posterior
e. Oral barbiturate administration.
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| yasmeen
Forum Guru
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C
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| krsna
Forum Senior
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contraction are occuring every 8 mins but should cocur every 2 ins and the foetal herat rate is also normal (no distres)soo action should be taken against the uterine contraction by increasing the oxcytocin drip
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| krsna
Forum Senior
Topics: 1
Posts: 211
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contraction are occuring every 8 mins but should occur every 2 mins and the foetal heart rate is also normal (no distres)soo action should be taken against the uterine contraction by increasing the oxcytocin drip
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| ram3
Forum Guru
Topics: 48
Posts: 518
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when a patient goes beyond three centimeters dilation
she is said to be in active labor. This is called failure
to progress first oxytocin should be used if this does
nort work then proceed to cesarean section
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| nadiabarati
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when we have labor arrest in active phase we need to go for C.section.
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| doc_clotaire
Forum Guru
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c. Oytocin augmentation
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| Aashi
Forum Moderator
Topics: 113
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| | 06/01/07 - 07:01 PM
1 of 1 forum leaders found this post helpful
| #8 |
Its oxytocin augmentation------>she is gettin contractions every 8 mins,contractions shld appear every 1- 2 mins,when the pt has dilated for >8cm,and therefore this lady requires oxytocin,if the q stated that ,inspite of getting good contractions say every 2 - 3mins and still she remained the same,without any dilatation--->this is ARREST in the active phase, and then there is risk for uterine rupture and therefore the answer in that case is defintely C- SECTION...
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| klimt
Forum Guru
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agree with aashi - C
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| ansalshah
Forum Newbie
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The only answer is C. section..This is active stage arrest-Go for C.section.
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| cirus
Forum Guru
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Posts: 740
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the ans is c section..from 4 cm dilat, its C Section
the labour stayed for 10 hrs so most probably the uterus is on its way so suffer atony, so c section( last 3 hrs no progress)
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| Justice
Forum Fanatic
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a. C-section
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| wywywy2006
Forum Elite
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Posts: 166
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very clear, the anwer is oxytocin augmentation. We go for C-section only when the uterine contraction is normal. However, this case has abnormal uterine contraction
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| elitoki
Forum Guru
Topics: 54
Posts: 508
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C oxytocin augmentation.
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