Modes of delivery

Question 1

when are elective C Sections generally performed?

Answer 1

after 39 weeks

Question 2

indications for C-Section?

Answer 2

• previous c section
• breech
• CPD
• mother’s wishes
• PP
• IUGR

Question 3

risks of C-Section?

Answer 3

• risks of anaesthetic
• risks of surgery
  
  • infection/bleeding/VTE/pain
• risk of damage to local structures
• ileus / hernias/ adhesions
• risks to future pregnancies:
  
  • increased risk of c-section
  • increased risk of PP
• risk to baby of lacerations / TTPN

Question 4

VBAC success rate?

Answer 4

75%

possible if no C/I:

• previous uterine rupture
• classical c section scar

Question 5

what does instrumental delivery involve?

Answer 5

use of instruments in 2nd stage of labour

Question 6

indications for instrumental delivery?

Answer 6

• failure to progress
• maternal / foetal distress

Question 7

risks to mother of instrumental delivery?

Answer 7

increased risk of tears & need for episiotomy

Question 8

types of instrumental delivery and their complications?

Answer 8

• ventouse
  
  • section cup placed on baby’s head and cord pulled gently
  • complication= cephalohaematoma
• forceps
  
  • complication: facial nervy palsy