instrumental delivery + caesarean

Question 1

risks + benefits of vacuum delivery

Answer 1

compared to forceps, more likely to:
fail
cephalhaematoma
retinal haemorrhage
scalp trauma

less likely - sig maternal perineal + vaginal trauma

Question 2

caesarean - risks

Answer 2

uterine, cervical, high vaginal injury
PPH
blood transfusion
sepsis
ICU + NICU

Question 3

indications for ventouse over forceps

Answer 3

little caput
woman still pushing
DOA

Question 4

indications for forceps over ventouse

Answer 4

baby’s head up high

mother can’t push

Question 5

forceps - risks

Answer 5

cervical spine trauma or transection

skull fracture

Question 6

caesarean - risks

Answer 6

foetus:
1-2% foetal laceration

mum:
infection, bleeding, VTE + damage to local structures
wound + abdo pain
emergency hysterectomy
need for future surgery

future pregnancies:
uterine rupture
stillbirth
placenta praevia + accreta
need for another caesarean