Topic 22: Abnormal Labor

The Association of Professors of Gynecology and Obstetrics (APGO) Medical Student Educational Objectives define a central body of women’s health knowledge, skills and attitudes that are fundamental to the practice of a general physician, and are intended to provide clerkship directors, faculty and students with a resource for curriculum development, teaching and learning. The companion videos to the APGO Objectives are meant to supplement the interactive online Objectives, teaching cases and outlines available to APGO members at www.apgo.org/educational-resources/apgo-medical-student-educational-objectives.

[@Ms.DoverNursingEducator-cy6fu]

4th P: Psyche can greatly impact the process of labor.

[@karlkoessler2679]

0:21 Objectives
Causes and methods of abnormal labor patterns
0:53 3 P's
1:40 Nullparous active labor (1.2 cm/hr)
1:48 Multiparous (1.5 cm/hr)
2:03 IUPC
2:18 MVU>200
2:26 Passenger
2:30 EFW>4500g
2:46 Bone landmarks
3:32 Positions for labor
4:00 Passage
4:06 Cephalopelvic disproportion
4:34 Augmentation
5:02 Uterine tachysystole 5/10 mins over 30 mins
5:29 Shoulder dystocia
5:59 McRobert's Maneuver
6:22 Additional steps for shoulder dystocia
6:54 Cord Prolapse
7:12 Causes
7:31 Management
7:46 Breech Delivery
8:04 Management
8:23 TOLAC
9:13 Benefits
9:28 Risks
10:06 Factors affecting outcome

[@johnbarba851]

Guidelines for Stage 1 Active Phase of Labor vary, as a medical student in 2024, 6 cm is considered the active phase now for our testing purposes. Good luck, friends!

[@Ankigravity]

In a previous practice question, manually replacing the umbilical cord into the uterus was explained as being inappropriate in the setting of cord prolapse, however, here in this video it is stated that manually replacing the cord is the next step after elevating the fetuses' head.

[@raf7507]

Ultimately you want a CS. Initially you are pushing the cord back in and manually grasping the fetal head on your way to the CS

[@dejgreen4843]

Easy to follow

[@kostiantynromaniv605]

It is not a problem with the speed - it is a problem with pauses between words and sentences. They are absent.

[@samn456]

Hello dear

[@peterjl1381]

Excellent video with great explanations, but there's no need to talk so fast!!

[@adams7839]

change the speed if you don't like it