13 - Obs - Labour - Occipito-Posterior position

Question 1

definition - ? of rotation, with face ?. Some ? common

Answer 1

abnorm of rotation, with face upwards. some extension common

Question 2

Epidemiology - ?% of deliveries, more common in ? labour

Answer 2

5%

early

Question 3

Aetiology - ?, inefficient ? activity, ? variants

Answer 3

idiopathic
uterine
pelvic

Question 4

Features - ? labour, ? pain, ? desire to ?. Occiput is ? on ? examination

Answer 4

early
back
early push
posterior
vaginal

Question 5

MGMT - if progress normal?

-if slow progress?

Answer 5

nil req if normal progress

slow = amniotomy and oxytocin (caution if multiparous)

Question 6

MGMT - if amniotomy and oxytocin fail in first stage?

-if second stage, >1 h pushing = ?

Answer 6

do a CS

instrumental delivery if criteria met