Normal Labour — Viva

Q1: Stages (2 min)

"Describe the four stages of labour."

• 1st: onset of regular contractions to full dilatation (10cm)
• 2nd: full dilatation to delivery of baby
• 3rd: delivery of baby to delivery of placenta
• 4th: first hour postpartum (monitor for PPH)

Q2: Cardinal movements (2 min)

"Name the cardinal movements of labour."

• Engagement, descent, flexion, internal rotation, extension, restitution, external rotation, expulsion

Q3: Third stage (3 min)

"Describe active management of the third stage."

• Oxytocin 10 IU IM at anterior shoulder
• Controlled cord traction (wait for separation signs first)
• Uterine massage
• Reduces PPH by 60%
• Signs of separation: cord lengthens, blood gush, uterus firm/rises
• Check placenta: 2 arteries, 1 vein, all cotyledons ^[1]

Q4: Apgar (2 min)

"What is the Apgar score?"

• Appearance, Pulse, Grimace, Activity, Respiration
• Each scored 0 to 2, total 0 to 10
• At 1 and 5 minutes after birth
• 7 to 10 = normal, 4 to 6 = moderate, 0 to 3 = severe

References13ShowHide

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