Intrapartum conditions influencing neonatal outcomes: 2 DONE

Question 1

What is Shoulder dystocia?

Management? 3

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Answer 1

Head is delivered vaginally, anterior shoulder can’t pass under pubic arch

Management:
Widen pelvis
McRoberts (knees tucked into chest)
Suprapubic pressure, rotation, hands and knees, etc

Question 2

What is Prolapsed umbilical cord?

Can occur?
May see?
Management? 3

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Answer 2

Umbilical cord comes out before the baby

Can occur anytime during labor with or without ruptured membranes

May see deep, recurrent variable decels on fetal monitoring

Management:
Trendelenburg (laying supine with head declined below)

Elevate presenting part off the cord

Emergency c section