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NORMAL LABOUR

OBSTETRICS TWENZETU SERIES. NORMAL LABOUR

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1. A 25 years old lady prime gravida at term is brought to the health centre you are working at presenting with a 3 hours history of lower abdominal pain which is progressive and radiates to the lower back . On examination, she is restless with stable vital signs. Describe evaluation plan of this lady based on pelvic examination.

2A. A 24-year-old primigravida at 39 weeks presents with regular, strong contractions. She has fundal height of 36cm with 2/5 descent. Per vaginal examination reveals 5 cm dilatation with intact membranes. What is the likely diagnosis?

B. With proper rationale outline 3 investigations to be done to this mother.

C. Outline the next steps in the management of this patient

3. A 32 years old woman at term was admitted in Labour ward presenting with severe progressive lower abdominal pain radiating to the lower back. On abdominal examination, Fundal Grip revealed a soft, large, irregular, and non-moveable mass like structure, Umbilical Grip revealed a firm, smooth, convex, and continuous structure felt on the mother's left side and small, knobby, irregular structures felt on the right, Pawlik's Grip revealed a hard, round, smooth, and ballotable structure felt just above pubic symphysis. Describe the full interpretation of these per abdominal examination findings.

4. Per abdominal examination was done to ABX, prime gravida 21 years old at term where by:: At 1900hrs 2 contractions were palpable in 10 minutes each lasting for 10seconds, at 1930hrs, 3 contractions were palpated each lasting for 15 seconds, at 2000hrs 2 contractions were palpated each lasting for 23 seconds and at 2030hrs, 2 contractions were palpated each lasting for 35 seconds. Interprete these findings and describe the management of this mother.

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