Complications Of Labor And Delivery

Question 0

Biochemical markers

Answer 0

Fetal fibrobectin >50ng/ml

Salvary estriol >2.3ng/ml

Question 1

Pre term labor

Answer 1

> 20w 2 cm + cervical effacement >80%

Question 2

Management for PTL

Answer 2

Hydration
Tocolytics
Corticosteroid: bexamethasone
Fetal lung maturity
Prevention: 17ahydroxyprogesterone

Question 3

First line Tocolytic

Answer 3

B adrenergic agonist

Ritodrine Terbutaline

Question 4

MC symptom of MgSO4

Answer 4

Flushing

Question 5

Fetal lung maturity assessment

Answer 5

Phosphatidylglycerol
Surfactant albumin>55
Lecithin sphingomyelin>2

Question 6

PROM
Prolonged PROM
PPROM

Answer 6

> 37w >1h
18h
<37w

Question 7

> 42 w

Answer 7

Post Term pregnancy

Question 8

2 syndromes in Post Term Pregnancy

Answer 8

Macrosomia

Dysmaturity

Question 9

Continued placental function
Healthy and large
Inc incidence of shoulder dystocia and birth trauma

Answer 9

Macrosomia Syndrome

Question 10

Placental insufficiency
Dry parchment skin with long thin arms and wide eyed look
Inc acidosis, oligohydramnios, cord compression, asphyxia and meconium aspiration

Answer 10

Dysmaturity syndrome

Question 11

Types of Breech
Legs and knees flexed
One not flexed. Cord prolapse
Flexed at hips. Extended at knees

Answer 11

Complete
Footling Inc
Frank

Question 12

Breech delivery

Delivery of shoulder

Answer 12

Lovesets maneuver

Question 13

Breech delivery

Delivery of head

Answer 13

Piper's forceps PREFERRED
Mauriceau
Prague
Bracht 
Pinard

Question 14

Index and Middle finger placed over fetal Maxilla

Other hand on fetal shoulder

Answer 14

Mauriceau maneuver

Question 15

Persistent fetal back

Fingers over shoulders then upper traction

Answer 15

Prague

Question 16

Breech delivered spont to navel

Suprapubic pressure

Answer 16

Bracht

Question 17

Breech decomposition
Frank breech delivered as footling
Pressed popliteal fossa causing knee flexion

Answer 17

Pinard

Question 18

Delivery of entrapped aftercoming head

Answer 18

Duhrssen
Zavanelli CS
Symphisiotomy

Question 19

Incisions at cervix 2 6 10

Answer 19

Duhrssen

Question 20

2 types of version

Answer 20

External cephalic breech 32-34

Internal podalic second of twin to double footling

Question 21

Successful ext ceph version

Answer 21

Multiparity

Question 22

CI for external version

Answer 22

Bleeding
Multiple pregnancy
Major malformation
Plan for manner of delivery