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Obstetrics I - OSCE > Fetal Dystocia > Flashcards

Fetal Dystocia Flashcards

1
Q
A
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2
Q

Def of Fetal Dystocia

A
  • Difficulty in delivery of fetus due to abnormal fetal size)
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3
Q

Etiology of Fetal Dystocia

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4
Q

Etiology of Macrosomia

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5
Q

Complications of Macrosomia

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6
Q

Etiology of Shoulder Dystocia

A
  • Pre-labor
  • labor Related
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7
Q

Etiology of Shoulder Dystocia

  • Pre-labor factor
A
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8
Q

Etiology of Shoulder Dystocia

  • Labor factor
A
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9
Q

Complications of Shoulder Dystocia

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10
Q

CP of Shoulder Dystocia

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11
Q

Prevention of Shoulder Dystocia

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12
Q

Management of Shoulder Dystocia

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13
Q

Management of Shoulder Dystocia

  • Intro
A
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14
Q

Maneuvers in Shoulder Dystocia

A
  • Gentle Downward Traction with suprapubic Pressure
  • McRobert’s Maneuver
  • Wood’s Screw Maneuver
  • Bringing down posterior arm
  • Zavanelli maneuver (cephalic replacement
    & doing CS)
  • Others
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15
Q

Maneuvers in Shoulder Dystocia

  • Gentle Downward Traction with suprapubic Pressure
A
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16
Q

Maneuvers in Shoulder Dystocia

  • McRoberts’s Maneuver
17
Q

Maneuvers in Shoulder Dystocia

  • Wood’s Screw Maneuver
18
Q

Maneuvers in Shoulder Dystocia

  • Bringing Down Posterior Arm
19
Q

Maneuvers in Shoulder Dystocia

  • Zavanelli Maneuver (Cephalic Replacement & Doing CS)
20
Q

Maneuvers in Shoulder Dystocia

  • Fracture of Clavicle
A
  • Can be done to I diameter of shoulder (it is done by upward pressure against mid portion of clavicle to avoid injury of subclavian vessels
21
Q

Maneuvers in Shoulder Dystocia

  • Cleidotomy
A
  • Cutting clavicle by scissors (done for dead fetus).
22
Q

Maneuvers in Shoulder Dystocia

  • Symphysiotomy
A
  • May be done to overcome contracted pelvis.
23
Q

Maneuvers in Shoulder Dystocia

  • Abdominal Rescue
A
  • Low transverse hysterotomy is performed & fetal shoulder is assisted below symphysis pubis followed by vaginal delivery of fetus.
24
Q

Maneuvers in Shoulder Dystocia

  • All Four maneuver
A
  • Patient is guided to all four positions on her hands & knee, Increase the pelvic capacity by 30%
25
Q

Maneuvers in Shoulder Dystocia

  • Squatting Position
A

It is suggested to increased capacity of pelvic outlet.

26
Q

Maneuvers in Shoulder Dystocia

  • Rotation of fetal shoulder by Shute parallel forceps

Obstetrics I - OSCE (32 decks)

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