Post Term & Induction

Question 1

When is antenatal surveillance started for post-dates? How often are they recommended?

Answer 1

1. Start at 41 weeks
2. NST/AFI twice weekly (modified BPP)
3. BPP

Question 2

What are non-pharmacological options for induction?

Answer 2

1. membrane sweep
2. acupuncture
3. sexual intercourse
4. foley catheter
5. nipple stimulation

Question 3

What are the areas of the bishop score?

Answer 3

Question 4

Is Cervidil an E1 or E2 prostaglandin?

Answer 4

E2

Question 5

Is Cytotec an E1 or E2 prostaglandin?

Answer 5

E1

Question 6

What can cause hyponatremia or water intoxication?

Answer 6

Pitocin. The primary cause of water intoxication and hyponatremia during Pitocin (oxytocin) induction is the medication itself due to its inherent antidiuretic (vasopressin-like) effect, which promotes water retention by the kidneys.

Question 7

Oligohydramnios measurements for MVP and AFI

Answer 7

<2cm MVP
<5cm AFI