WorksheetsODP obstetrics
Total questions: 10
Worksheet time: 7mins
Why might a woman need to go to theatre in obstetrics ?
Instrumental delivery
Repair of perineal injury
Bleeding
Elective caesarean section
Emergency caesarean section
Preferable routes of anaesthetic in obstetrics are
Spinal
Epidural
General anaesthtic
What is it about obstetric patients we need to consider ?
Higher risk of aspiration
1.5 - 2litres of extra circulating blood volume
Bladder can hold up to 1 litre of urine
Blood loss can be excessive and rapid
They are less likely to develop blood clots
Decision made for caesarean section is made based on pathological CTG and baby’s heart rate is showing signs of concern - What does the midwife need to consider ?
Neonatal doctor to attend
Can birthing partner stay ?
Auscultation of fetal heart in theatre
The instruments needed for the procedure
Does a Caesarean section carry more risks for baby ?
YES
NO
How may women develop hypertension in the antenatal period ?
5%
30-40%
50%
10-15%
What are the possible complications of having a caesarean section ?
Bleeding
Infection
Bladder injury
Urethral trauma
According to the Baby Friendly Initiative (2019) what is best practice for neonates in the first hour of life ?
Skin-to skin contact for as long as possible but for at least an hour with mother
To be dressed and given to birth partner in recovery
To observe for feeding que’s
To be weighed
What Never event do we have in obstetrics ?
Intrapartum death of neonate at elective caesarean section
Major haemorrhage
Swab left insitu
How can we improve the outcomes for our women and babies ?
Introducing ourselves
Offer everyone a cup of tea
Make ourselves aware of everyone’s roles in the theatre
Having confidence to speak up if we see bad practice
