For purposes of PLE, should active phase, as far abnormal labor is concerned, be changed to 6 cm instead of 4 cm? In the latest edition of Williams, it is mentioned that active phase should start at 6 cm instead of 4 cm. But this is only mentioned once in the book, and all other topics about active labor continue to refer to it as 4 cm (like the table for abnormal labor).
for PLE purposes i think its still 4cm, because i think PLE will base it on the latest published edition of williams...but for obgyn residents, the philippine clinical practice guidelines will update it to 6cm
Hi doc. I have a question. If decel is still in station -1 for 2 hours (6th to 8th hour), yet 10th hr is in st. 0 and 11th is st. +1, is it considered normal labor and not an arrest?
it depends on the cervical dilatation. consider the general pattern of the labor curve you generated, and the criteria for abnormal labor patterns before u can label it dystocia
I have a question po, doc. What is the diff. between secondary arrest of dilation from protracted active-phase dilation? Since both of them needs to go through active phase (6cm). Yung secondary arrest po ba dahil di siya naka reach sa decel phase na 9cm? Salamat po. Very helpful yung videos niyo!
Thank you po doc, sobrang helpful sa case discussion ko, pero May clarification lang po ako, in case the patient has arrest of dilation at 6cm at two different IE 2hours apart, and the cephalic descent was at -3 throughout course of the labor, will the diagnosis be secondary arrest of dilation only, or secondary arrest of dilation and failure of descent (we mention both)? Thank you po doc 🙂
Thank you Doc Ina for your kindness and for your teaching. God bless you, Doc Ina. 💙
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thank you so much , doc! This helps me a lot in my ob gyne rotation.
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Thank you for this Doc! Really helpful in my OB rotation in this COVID time
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Thanks doc Ina. Really helpful for the boards! 💕
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Thank you for this, Doc! This helped me in my case presentation 🙏🏻
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Thank you for this, Doc!
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I love your lectures, Doc! Maraming salamat po.
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Thank you Doc Ina, really helpful in my OB rotation ❤
thanks!
very helpful! Thank you Doc!
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Thank you doc. Galing! Dapat nag supplement ako neto nung sa PLE dati para mas madali.
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This video is very helpful doc. Thank you
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Thank you doc Ina. :)
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Thank you Doc for Amazing explanation
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reviewing for boards. thankyou for this doc!! #Refreshed
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Thanks Dr Ina Irabon. That's was informative. Could you please make more videos like this one .
thanks! wil try!
Very easy to understand, doc. Salamat po! Sakto for the PLE. Currently reviewing po. :)
welcome!!! good luck in the PLE!
@@inairabon9528 Thank you po!
Thanks doc! This is such a big help
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Very helpful❤
I'm so glad!
Thank you so much po doc ^_^
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So a prolonged deceleration phase doc even if it is >3hrs is still not considered prolonged deceleration? thank you
Dapat po sa inyo na ako nagbabayad ng tuition 🤭. Thank you po, doc!
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Thankyou 😇
Thank you too!
Salamat po doc
welcome!
For purposes of PLE, should active phase, as far abnormal labor is concerned, be changed to 6 cm instead of 4 cm? In the latest edition of Williams, it is mentioned that active phase should start at 6 cm instead of 4 cm. But this is only mentioned once in the book, and all other topics about active labor continue to refer to it as 4 cm (like the table for abnormal labor).
for PLE purposes i think its still 4cm, because i think PLE will base it on the latest published edition of williams...but for obgyn residents, the philippine clinical practice guidelines will update it to 6cm
Thank you doc 🙏🏼
Hi doc. I have a question. If decel is still in station -1 for 2 hours (6th to 8th hour), yet 10th hr is in st. 0 and 11th is st. +1, is it considered normal labor and not an arrest?
it depends on the cervical dilatation. consider the general pattern of the labor curve you generated, and the criteria for abnormal labor patterns before u can label it dystocia
@@inairabon9528 thank you doc!
I have a question po, doc. What is the diff. between secondary arrest of dilation from protracted active-phase dilation? Since both of them needs to go through active phase (6cm). Yung secondary arrest po ba dahil di siya naka reach sa decel phase na 9cm? Salamat po. Very helpful yung videos niyo!
Thank you po doc, sobrang helpful sa case discussion ko, pero May clarification lang po ako, in case the patient has arrest of dilation at 6cm at two different IE 2hours apart, and the cephalic descent was at -3 throughout course of the labor, will the diagnosis be secondary arrest of dilation only, or secondary arrest of dilation and failure of descent (we mention both)? Thank you po doc 🙂
arrest of dilatation. descent happens at deceleration phase (8CMS)
@@inairabon9528 thank you po doc so much
Hi doc! Clarify ko lng po, ang active labor phase arrest po ba mag commence if 4cm or 6cm dilated? Thanks po.
Na answer na po pala sa baba... :)
Thank you doc! Ask ko lang din po, ano po yung book na ginamit nyo for the table ng abnormal labor patterns? :)
williams
Thank you po doc!
covid learnings
thanks for watching my lecture videos!!!