Malposition Flashcards
1
Q
Definition of malposition
A
Where the occiput is in one or other of the posterior quadrant of the pelvis (Lewis, 2010)
2
Q
What % of women have OP babies?
A
10-15% (Kariminia et al 2004:1
3
Q
Why does OP occur?
Passage
Passenger
Power
A
Passage: narrow pelvis, ishical spine, fibroids, placenta praevia Power: in-coordinate contractions poor contractions epidural Passenger: attitude of flexion maternal posture baby>4kg fetal abnormality
4
Q
Cause op?
A
pelvis - android/anthropoid anterior placenta epidural + oxytocin >mat age >gestation
5
Q
Diagnosis
Antenatally
Labour
A
Antenatal:Inspection of abdomen, Palpation, FH auscultation
Labour: Listen to the woman (FM and pain), Inspection and palpation, FH auscultation, Vaginal examination, Progress of labour
