Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Alice MRCOG Part 2 > ECV and Breech > Flashcards

ECV and Breech Flashcards

1
Q

Overall succes rate for ECV

Primip and nullip

A

Overall 50%

P0 40%

Multip 60%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Reversion back to breech post ecv

A

3-5%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

After ECV chance of LSCS

A

Increased

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Which agents can be used for tocolysis?

A

Salbutamol/ terbutaline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are contraindications for tocolysis?

A

BBlockers
Palpitations
Cardiac disease/HTN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are side effects of tocolysis?

A

Tachycardia, flushing, tremor and occasional nausea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

When should ECV be offered?

A

37 weeks- multip

36 P0

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Absolute contraindications to ECV

4

A 
Abruption
PET- severe
Abnormal fetal dopplers
Abnormal CTG
SROM
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Relative contraindications

A

Scarred uterus
Unstable lie
IUGR
Oligohydramnios

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Risk of EMCS after ecv

A

0.5% within 24 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Should anti d be given?

A

Yes within 72 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the recurrence rate of breech presentation?

A

9.9%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What percentage of term deliveries are breech?

A

3-4%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

All term breech babies have increased risk of poor outcome

Planned ceasarean section have slightly decreased risk neonatal mortality 0.5/1000

What is the perinatal mortality for planned vaginal breech and cephalic breech?

A

Breech 2/1000
Babies have increased risk of low apgar scores but no increased risk long term morbidity

Cephalic 1/1000

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What can reduced risk with ELCS also be attributed to?

A

< risk stillbirth

Avoidance of IP risks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

In breech pregnancy, when should caesarean be reccommended?

A

Presence of any other RFs

17
Q

Independent risk factors for poor outcome vaginal breech delivery?

A 
Hyperextended neck on uss
EFW >3.8kgs
EFW <10th centile
Footling
Evidence of antenatal compromise
18
Q

Can yon induce breech delivery?

A

No

If augmentation required- use synto

19
Q

Preterm breech

A

22-25+6- LSCS not recommended

If PT delivery due to maternal/ fetal compromise- LSCS is recommeded

20
Q

Lovset

A

Twisting

21
Q

Mariceau-Smellie-Viet

A

Flex head down

22
Q

Bracht

A

Grasp body with knes flexed and bring up to symphysis pubis

Alice MRCOG Part 2 (16 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions