4th Year Forceps/Ventouse Flashcards
criteria for forceps delivery
fully dilated cervix (10cm) OA position ruptured membranes cephalic presentation engaged presenting part pain relief sphincter/bladder empty
types of forceps
outlet e.g. Wrigley’s
mid/low cavity forceps
rotational
which forceps should be used in theatre with regional anaesthetic?
kielland forceps
what is ventouse delivery more likely to cause?
cephalohematoma
chignon
retinal haemorrhage
when is ventouse CI?
<34 weeks face presentation haemophilia predisposition to fracture (osteogenesis imperfecta) maternal HIV or hep C
head injuries caused by delivery?
caput succedaneum
chignon
cephalohaematoma
subgaleal haemorrhage
risk factors for caput succedaneum
prolonged labour and pressure on the cervix
presentation of caput succedaneum
swelling crosses suture lines
puffy
bruised
moulding
management of caput succedaneum
days to resolve
conservative
when does cephaloheamatoma develop?
several hours after birth
what is a cephaloheamatoma
subperiosteal haemorrhage
RF for cephaloheamatoma
prolonged 2nd stage
instrumental delivery
presentation of cephaloheamatoma
limited by suture lines
increases in size 12-24 hours after birth
management of cephaloheamatoma
months to resolve
conservative unless hyperbilirubinaemia (jaundice)
what is chignon?
temporary swelling after ventouse
