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Case #93 "Ready Or Not, Here He Comes!"
by Charlene Babcock Irvin, MD, FACEP
 

A patient presented for transport to labor and delivery by EMS. EMS notes she is a G6P5, with contractions every three minutes. Labor and Delivery is on the 4th floor, about seven minutes away (and that’s assuming the elevator is available), so I decided to check her before authorizing the trip in the elevator. She didn’t have a doctor and said her due date was ‘soon’.

With a quick exam, I determined she was dilated to about 9 cm, and station +2.

I asked her if she felt any urges to push.

“No, but this baby is coming fast, just like my other babies!”

Questions:

1. What are the different stations of labor?

2. What quick test will tell you if the patient has had premature spontaneous rupture of membranes (SROM)?

3. What are the risk factors for placental abruption?

4. Name the 5 components of the APGAR score.

5. How do you deliver the baby?

Click here for answers and to respond

 
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