instrumental delivery

Question 1

indications

Answer 1

delay in birth when 2nd stage >2h; fetal head not rotated or has arrested, head rotated into posterior position midcavity, cephalopelvic disproportion, weaker uterine contractions, fetal distress, distressed mother, existing condition, aid in delivery of head in breech position

Question 2

conditions of use

Answer 2

head must be engaged, membranes ruptures, no cephalopelvic disproportion, fully dilated, empty bladder, position of head known, presentation suitable, uterus contracting, adequate anaesthesia

Question 3

indications forceps

Answer 3

delay 2nd stage, failure maternal effort, malpositioned head, fetal distress, prolapsed cord, eclampsia

Question 4

forceps complications

Answer 4

maternal- trauma, fetal- bruising, VII paralysis, brachial plexus injury

Question 5

which mode causes more injury to mother

Answer 5

forceps

Question 6

when is vontouse not used

Answer 6

if head is above ischial spines

Question 7

CI ventouse delivery

Answer 7

face presentation, babies

Question 8

complications ventouse

Answer 8

babys scalp sucked up into a chignon- resolves in 2 days; cephalhaematoma; failed delivery; fetal retinal haemorrhages