6.7.8.9 Stages Of Labor

Question 1

Which tool is used to rupture the amniotic sac?

Answer 1

A: An amniotomy hook or Kocher clamp

Question 2

When is the amniotic sac usually ruptured?

Answer 2

A: During the active phase of labor, typically at 5-6 cm cervical dilation.

Question 3

Q: What are the indications for rupturing the amniotic sac?

Answer 3

A: To augment labor, assess amniotic fluid, or apply fetal scalp monitoring.

Question 4

Name the cardinal movements of labour or the steps the baby has to take in order to navigate through the birth canal

Answer 4

Every Darn Fool In Egypt Eats Eggs
• Engagement
• Descent
• Flexion
• Internal Rotation
• Extension
• External Rotation
• Expulsion

Question 5

Question 6

Shoulder dystocia ?

Answer 6

Shoulder Dystocia

Shoulder dystocia occurs when the fetal shoulders become stuck behind the maternal pubic symphysis after the head is delivered, preventing further delivery.

McRoberts Maneuver

1.	Position the Mother: Place her in a supine position, flex her hips, and bring her thighs tightly against her abdomen.
2.	Apply Suprapubic Pressure: Gently push above the pubic bone to dislodge the fetal shoulder.
3.	Apply Gentle Traction: Use controlled downward traction on the fetal head during contractions.

This maneuver widens the pelvic inlet and is effective in resolving shoulder dystocia in most cases.