Bishop Score
Which prostaglandin is FDA approved for cervical ripening?
PGE2 or dinoprostone
Name the methods used for cervical ripening.
Prostaglandins (PGE1 and PGE2)
Mechanical (Foley/Cook)
Osmotic (laminaria)
Sinusoidal
Category III
sine-like pattern with 3-5 cycles per minute lasting > 20 minutes
How is tachysystole defined?
greater than 5 contractions in 10 minutes averaged over a 30 minute window
Which spice girl was married to David Beckham?
Posh Spice, Victoria
At what score is the probability of vaginal delivery after labor induction similar to that after spontaneous labor?
> 8
Name four methods used for labor induction (differentiate from cervical ripening)
oxytocin, membrane stripping, nipple stimulation, amniotomy
Baseline 120, moderate variability, no accelerations, no decelerations
True or False: the use of EFM increases overall cesarean delivery rate.
True
What did the spice girls really want in their single Wannabe?
A zig a zig ah
What are the 5 components of a bishop score?
Dilation, position, effacement, station, cervical consistency
What risks have been associated with vaginal misoprostol?
Tachysystole, uterine rupture in patients with history prior uterine surgery, increase in meconium stained fluid.
Baseline 165, moderate variability, + accelerations, + early decelerations
Category II
What is the definition of a variable deceleration?
onset to nadir is < 30 seconds, decrease is at least 15 bpm below the baseline and lasts at least 15 seconds but less than 2 mins
In 2012 the Spice Girls performed at the closing ceremonies for the Olympics - it was the last time they would perform as a quintet. What city was this in?
London
What is the bishop score for the following exam:
3/50/-2, anterior, medium
7
Maternal and neonatal infections
Baseline 115, absent variability, no accelerations, recurrent variable decelerations
Category III
True or false: The use of EFM decreases risk of CP
False. Does reduce risk of neonatal seizures. Increased risk of VAVD and FAVD. No change in perinatal mortality.
Finish the lyrics: Stop right now, thank you very much. I need somebody with a human touch. Hey you..
always on the run. Gotta slow it down, baby, gotta have some fun.
What steps can be taken for a category II or III tracing?
Discontinue labor stimulating agent, cervical exam, maternal position change, assess blood pressure, consider terbutaline, amnioinfusion for recurrent variable decelerations. NO data to support oxygen supplementation
Name the five spice girls
Posh, Scary, Baby, Sporty and Ginger