Complications Of Child Birth Flashcards
What are some predisposing factors for a breech birth?
-prematurity
-Uterine abnormalities
-Fetal abnormalities
-Multiple gestations
-previous breech delivery
What is the frank position
65% of breech births
Hips are flexed, knees are extended
What is the complete position
10% of breech births
The hips and knees are completely flexed
What is the footling position
25% of breech births
The feet or knees are the lowermost presenting part
Can be single or double
How to deliver a breech birth baby
Grab the baby by the ankles and lift upwards
What happens if you cannot deliver the head within 3mins
The child is in danger of suffocation, you must put you hand in the vagina with your palm towards the baby’s face. Form a V with your fingers on the baby’s face and try to help flex the neck.
What is a transverse presentation
The fetus lies cross wise, NEVER try to deliver this in the field
Shoulder Dystocia
Difficulty in delivering the shoulders
What is concern in the case of shoulder dystocia
Brachial nerve plexus damage
What is the McRoberts maneuver
Used in shoulder dystocia
-hyper flex the woman’s legs tightly to the abdomen
-may need to apply pressure to the lower abdomen and gently pull on the fetuses head
What happens in the case of a prolapsed cord
The cord emerges from the uterus before the baby
The cord is compressed between the baby and the pelvis with every contraction. Fetal asphyxiation can occur if you do not intervene
What to do in the case of a cord prolapse
Lay the woman down
100%O2
Push the baby back in
Cover the cord in dressings moistened with saline
Encourage the woman NOT to push
When do contractions start again if there are multiple gestations
Within 5 to 10mins
When will the second baby arrive
30 to 45mins after the first
When do the placentas come out
After both babies are born
