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Chapter 15 - Labor at Term

from Section 2 - Labor and Delivery

Published online by Cambridge University Press:  23 February 2023

By
Amira El-Messidi  and
Srinivasan Krishnamurthy
Edited by
Amira El-Messidi  and
Alan D. Cameron
Amira El-Messidi
Affiliation:
McGill University, Montréal
Alan D. Cameron
Affiliation:
University of Glasgow
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Summary

During your call duty, a healthy 30-year-old primigravida at 40+4 weeks’ gestation, confirmed by first-trimester sonography, presents to the obstetric emergency assessment unit of your hospital center with possible spontaneous rupture of the chorioamniotic membranes after a two-day history of increased aching in the low back and coccyx. You recall meeting the patient at a routine prenatal visit at 32 weeks’ gestation while briefly covering your colleague’s practice; you ascertained all aspects of maternal-fetal care had been normal. Electronic health records indicate she has since remained compliant with obstetric care, which has been uncomplicated up to the latest prenatal visit three days ago.

Keywords

Rupture of chorioamniotic membranes at term, diagnosisLabor analgesia at termIntrapartum maternal-fetal monitoringFetal malposition in laborGroup B Streptococcus intrapartum prophylaxisChorioamnionitisEpisiotomyObstetric anal sphincter injuryLabor dystocia, managementCardiotocography in laborIntrauterine resuscitationInstrumental vaginal delivery, forceps and vacuumSecond stage Cesarean section, fetal head impactionUmbilical artery cord blood analysisApgar score calculation
Type
Chapter
Information
OSCEs in Obstetrics and Maternal-Fetal Medicine
An Evidence-Based Approach
 , pp. 199 - 227
Publisher: Cambridge University Press
Print publication year: 2023

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References

Suggested Readings

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