L5: Malpresentation & Malposition (Introduction) Flashcards

1
Q

Def of Malposition

A
  • Normal presentation (vertex) but e malposition of occiput which is directed posteriorly (OP).
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2
Q

Def of Malpresentation

A

Presentation Other than normal presentation (vertex).

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3
Q

The only normal presentations & positions are ……

A

LOA & ROA

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4
Q

General Causes of Malpresentation & Malposition

A
  • Faults in Power
  • Faults in Passages
  • Faults in Passengers
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5
Q

General Causes of Malpresentation & Malposition

  • Faults in Power
A
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6
Q

General Causes of Malpresentation & Malposition

  • faults in Passages
A
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7
Q

General Causes of Malpresentation & Malposition

  • Faults in Passengers
A
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8
Q

General Causes of Malpresentation & Malposition

  • Most common cause in multipara
A

Laxity of uterine & abdominal muscles (pendulous abdomen)

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9
Q

General Causes of Malpresentation & Malposition

  • Most common cause in nullipara
A

Bony pelvis

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10
Q

General Causes of Malpresentation & Malposition

  • Most common cause in General
A

Prematurity

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11
Q

Hx in Malpresentation & Malposition

A

Increased fetal movements or lump in epigastrium

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12
Q

Ex in Malpresentation & Malposition

A
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13
Q

Ex in Malpresentation & Malposition

  • Abdominal
A
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14
Q

Ex in Malpresentation & Malposition

  • Vaginal
A
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15
Q

Ex in Malpresentation & Malposition

  • US & X-ray
A

Diagnosis of malpresentation & fetopelvic disproportion.

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16
Q

General Complications of Malpresentation & Malposition

A
  • Maternal & Fetal
17
Q

General Complications of Malpresentation & Malposition

  • Maternal
A
18
Q

General Complications of Malpresentation & Malposition

  • Fetal
A
  • Asphyxia: Due to prematurity, cord prolapse, placental compression & ICH.
  • Fetal birth injuries.
19
Q

DDx of Irregular Presenting Part

A
20
Q

Head is delivered by flexion in ….

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