Abnormal Labor and Delivery - CRASH! Medical Review Series

[@lorelwebber6435]

41 weeks pregnant here and love listening to this. Knowledge of everything is cool.

[@tahirahhinds6271]

how did you know I needed this! like today! thank you! I'm on my obs/gyn rotation (4th year medical student- UWI, Barbados)

[@madtitan5239]

So far all your lectures are accurate, very informative and fun to listen compared to other KZbinr.. I hope people would discover your channel as I had.. I'm sure they would be glad.

[@shivankgupta8266]

Thank you Dr Paul ! Your videos are a blessing to the medical field worldwide. Please continue posting videos! How can we donate more money to keep this amazing channel alive? Regards

[@hardik7942]

Watching this - a night before my Ob-Gyn exams, thank you so much for this video

[@kabahkhadidja3234]

A BIG THANK YOU FROM ALGERIA

[@Fattoush1]

Amazing video! I've been relying on your videos for quite some time now. You're reviews are outstanding and easy to grasp! Thank you so much for everything.

[@malmutairi3372]

Thank you so much, one thing would be useful if added, is references, so we can read them if needed.

[@Istvan_F]

If these were available last november.. Incredible work. Thank you very much. I must admit, I relied a lot on your reviews during my last two years.. :)

[@vnagubandi11]

Thank you So much Dr.Bolin! Really appreciate your efforts

[@mohsenmohamed6835]

Dr Ballin! you're the best!

[@footballgoalsandhighlights8854]

I'm now in my obs/gyn rotation all this become my nightmare last days but I m sure I will beat next week thank u

[@ketkimutha1296]

Thank you so much sir for your incredible efforts...your videos are fantastic, easier to understand...waiting for many more videos further... Great job sir.

[@Nwokedi]

Thanks a lot, sir, for the great videos! Could you do a video on AMENORRHEA

[@reubenbenedict9829]

That's was nice, keeps on ur good work. However, here in Africa, we used tabutaline, mgso4, nifedipine to tocolyze hypertonic uterus.

[@chaka1897]

Africa has many countries.

[@mayve953]

Thank you so much for taking the time to post these helpful videos. You have made my life easier! God bless you!

[@ayanmo7165]

Thanks dr paul

[@najwaeid7614]

hi Paul ! thank you so much! helped a lot!

[@drvijaylaxmid6998]

Easy to understand, nice video! Thank you

[@aswinkundavaram5746]

tyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyy so much sirrrrrr.........love from india

[@tasneemhal-jamal7424]

Very helpful !! Thnx a lot

[@josefernandocortinarodrigu5143]

Congratulations for your videos, I love the way you explain it!! I just want to say that according by UpToDate Friedman curve and Zhang/contemporany curve are still in debate in whcih one we can use but my percepction and my examns are based on Zhangs

[@xDomglmao]

thx4info!

[@imeneboudraa4636]

Thank you

[@عليدلاوي-ش3ث]

Thanks ❤❤❤❤

[@mahmoudmohammedabdel-samie6435]

where can i find that video about normal labor?

[@anchor9797]

I already joined the patron and I started to worry about this. Dr. Bolin, how is patron going? I hope that works out well. Thank you eveytime.

[@marketamk5587]

Hi Paul! Thanks so much for all the videos. I have used them over and over again as a med student and now, in my 1st year of residency, I go back once in a while for topics like obstetrics which I don't know much about (because it's not my field but I need to do mandatory rotations in once in a while). Is there a way to donate once without the 1$ monthly subscription? Thanks!

[@xDomglmao]

same issue here btw and I think that many feel the same, would prefer to donate once in a while a larger amount than 1$/m

[@madelinecook2221]

Why are you default giving her morphine if she’s having a prolonged latent phase/possible false labor? Many women decline pain medication even during the active stage. Is this 1965 and we’re still giving women pregnancy tranquilizers? It makes sense if she requests pain management, but to default to something like that doesn’t make sense to me. Am I missing something?

[@mhhealth587]

Prolong active phase nd protracted active phase r diff..later is definition u told fr prolong active phase

[@higiniomalave]

lwsion in the cervix or a tear thats emergency surgival

[@muhammadsattam5606]

great effort dr paul ,i wanna ask you sir if there is intention for making videos for usmle step1

[@doctorofhorrors239]

What is your main source? We use William’s OB. Thank you

[@RT-ql7qn]

Any plans on doing a video with sample questions ?

[@هاجرخالد-ش7ت]

What is the difference between arrested and prolonged active phase

[@Mariamhamwi]

arrested is more severe form of prolonged active phase. u can think about it this way. the changes are way slower to the point it changes every 3 h

[@Mariamhamwi]

(and also may or may not change every 3 h) so prolonged

[@taraishere17]

Hey Paul! Thanks for the great video. Would you mind answering one question. In case of prolonged active phase of labour, you mentioned that we could consider morphine sedation to slow this down. However, given this is the active phase, wouldn't that increase the chance of baby coming out flat and needing resuscitation? Wouldn't intrapartum foetal monitoring and caesar if indicated be a better approach? Looking forward to the reply. Thanks. :)

[@pwbmd]

Yeah it's really risks vs. benefits. That is definitely a legitimate concern. Morphine is merely an option to slow labor down if it's desired, but there are certainly circumstances where it may not be desired. Whether or not you would use it will depend on the exact situation. Morphine is described here (you can also use terbutaline) as a means for remedying hypertonic contractions, which has a host of risks for mom and baby (e.g., placental abruption, uterine rupture) but there are legitimate risks for the baby as you mentioned. The goal with medical intervention is to get the woman into having normal contractions and facilitate a natural vaginal delivery. If you're really having a rough go of things, then a Caesarean would be a viable option -- but that too comes with obvious risks and isn't always doable (e.g., no OR or qualified surgeon available). So the morphine is really just an option. I don't mean that this would be appropriate in all circumstances, by any means.

[@taraishere17]

Thanks for the prompt reply. That reads better in my head. 😊👍

[@دكتورهارونعبدالغنيالجند]

Normal labor and delivery video is here kzbin.info/www/bejne/e3rLZJ6onciVitE

[@pacifiquebusiness]

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