keppler operative obstetrics Flashcards
What types of things are considered Operative Obstetrics?
- Cesarean Delivery
- Operative Vaginal delivery
- Episiotomy
- Obstetric lacerations
What are some indications for a cesarean delivery?
- Labor arrest
- Abnormal FHR tracing
- Malpresentation
- Repeat
- Prior uterine surgery
- Elective primary
- Maternal medical indication
Indications for operative vaginal delivery?
Maternal or Fetal
Who would be a candidate for operative vaginal delivery?
- known position/ orientation
- Anesthesia
- Gestational age > 34 weeks
What is the preparation for operative vaginal delivery?
- bladder drained
- Counseling/consent
True or false: the only difference in choosing whether to use the vacuum or forceps is the training the provider has?
True
True or false: there are both fetal and maternal risks with operative vaginal delivery?
True there are risks for both parties
What are the two techniques for a episiotomy?
can be either midline or Mediolateral
What are the fetal risks using a vacuum and/or forceps?
- laceration
- Subconjunctival hemorrhage
- subdural hematoma
What would be a fetal indication to perform an operative delivery?
they either have a category 2 or 3 fetal tracing
What are some risk factors for obstetric laceration?
- Post-dates
- Large fetus
- Prolonged 2nd stage
- Happened before
What the difference between a 3rd and 4th degree obstetric laceration?
a 3rd degree involves just the rectum, whereas a 4th degree involves the rectum and mucosa.
What does a 1st degree obstetric laceration tear throug?
this tears through the vaginal mucosa
What does a 2nd degree obstetric laceration tear through?
this tears the perineal muscles
Whats the most common indication for a C-section?
a Prior one
