L5: Malpresentation & Malposition (Introduction) Flashcards by Ahmed Farag

Q

Def of Malposition

A

Normal presentation (vertex) but e malposition of occiput which is directed posteriorly (OP).

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Q

Def of Malpresentation

A

Presentation Other than normal presentation (vertex).

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Q

The only normal presentations & positions are ……

A

LOA & ROA

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Q

General Causes of Malpresentation & Malposition

A

Faults in Power
Faults in Passages
Faults in Passengers

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Q

General Causes of Malpresentation & Malposition

Faults in Power

A

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Q

General Causes of Malpresentation & Malposition

faults in Passages

A

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Q

General Causes of Malpresentation & Malposition

Faults in Passengers

A

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Q

General Causes of Malpresentation & Malposition

Most common cause in multipara

A

Laxity of uterine & abdominal muscles (pendulous abdomen)

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Q

General Causes of Malpresentation & Malposition

Most common cause in nullipara

A

Bony pelvis

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Q

General Causes of Malpresentation & Malposition

Most common cause in General

A

Prematurity

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Q

Hx in Malpresentation & Malposition

A

Increased fetal movements or lump in epigastrium

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Q

Ex in Malpresentation & Malposition

A

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Q

Ex in Malpresentation & Malposition

Abdominal

A

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Q

Ex in Malpresentation & Malposition

Vaginal

A

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Q

Ex in Malpresentation & Malposition

US & X-ray

A

Diagnosis of malpresentation & fetopelvic disproportion.

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Q

General Complications of Malpresentation & Malposition

A

Maternal & Fetal

Q

General Complications of Malpresentation & Malposition

Maternal

A

Q

General Complications of Malpresentation & Malposition

Fetal

A

Asphyxia: Due to prematurity, cord prolapse, placental compression & ICH.
Fetal birth injuries.

Q

DDx of Irregular Presenting Part

A

Q

Head is delivered by flexion in ….

A

Face to pubis.
Face direct MA.
Aftercoming head of breech.