Indications for a c-section during labor
Update: 2017-12-03
Description
- Nonreassuring fetal heart tracing
Category 2-remote from delivery
Minimal/absent variability is most significant predictor of fetal acidemia
Category 3 any time is emergent deliver - Failed IOL
Many different definitions: Most commonly 12-24hrs ruptured membranes on pitocin without active labor - Arrest of dilation
Can only meet criteria once in active labor 6cm or greater
Do you know if her contractions are adequate? IUPC with MVUs>200-250
If the contractions are adequate, no change over 4hrs
If contractions are inadequate or no IUPC, no change over 6hrs - Arrest of descent
Prime with epidural 3hrs
Prime without epidural-2hrs
Mutlip with epidural 2hrs
Multip without epidural 1hr - Cord prolapse
-Emergency! - Malpresentation
-Breech, transverse, compound
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