Labor is the process through which a fetus and placenta are delivered from the uterus through the vagina. Women often self-present to obstetrical triage with concern for the onset of labor and chief complaints such as painful contractions, vaginal bleeding/bloody show, and fluid leakage from the vagina. It is up to the clinician to determine whether the patient is in labor.
Successful labor involves three factors: maternal efforts and uterine contractions, fetal characteristics, and pelvic anatomy. This triad is classically referred to as passenger, power, and passage. Clinicians typically use multiple modalities to monitor labor. Serial cervical examinations are used to determine cervical dilation, effacement, and fetal position (also known as the station). Fetal heart monitoring is employed nearly continuously to assess fetal well-being throughout labor. And cardiotocography is used to monitor the frequency and adequacy of contractions. Medical professionals use the information they obtain from monitoring and cervical exams to determine the patient's stage of labor and monitor labor progression.
Short videos are good but needed little.bit more explanation for understanding concepts ,it's like saying various terms and related things but it does not clear concepts
Very strong high content material in preparation for USMLE Boards.
I personally do not think that there was not enough of necessary depth taken for this topic that I had to rely on what I learned in medical school or look up information on external sites, which is FINE, but I thought the whole point of these videos were for review and the topics that needed review were not covered. I think the basic concept that of comparing the fetal heart tracing to the maternal tracing is missed. The explanation of the categories was so confusing. It should have just been Category I is this, Category III is this, and Category II is anything not above - this is so plain and simple. Instead, the lecture slide made it look like there were certain criteria that needed to be met for Category II. I do not think this was the best lecture by Dr. Gillispie and I recommend looking for outside sources to review this topic.
I feared ob all the time, yet Dr. Gillispie made the concept very palatable and enjoyable. I wish the gyn presentation was that simple and informative. Thanks