Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

10 OB > OB Procedures > Flashcards

OB Procedures Flashcards

1
Q

types of forceps

A

simpson: most common
keilland: for mid-/high stations of the head
tucker-mclane
piper: breech

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

fetal indications for forceps delivery

A

non-reassuring heart rate pattern

premature placental separation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

maternal indications for forceps delivery

A 
heart disease
pulmonary injury or compromise
intrapartum infection
neurological conditions
maternal exhaustion and prolonged 2nd stage of labor
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

prerequisites to operational delivery

A 
experienced operator
engaged head
ruptured membranes
vertex presentation
fully dilated cervix
no cpd
no fetal coagulopathy or bone demineralization disorder
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

abandon operative procedure if

A

satisfactory application of forceps cannot be achieved

application was achieved but downward pull does not result in descent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

factors for failed forceps assisted delivery

A

persistent occiput posterior
absence of regional or general anesthesia
birth weight >4kg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

preparation for mother and fetus before forceps procedure

A

fetus: fully dilated cervix, ruptured bag of waters, cephalic presentation, confirm fetal head position and station
mother: consent, anesthesia, empty bladder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

forceps procedure steps

A 
Ask for assistance
Bladder empty
Cervix fully dilated
Determine station, position
Equipment
Forceps insertion
Gentle traction
Handle elevation
Incision
Jaw
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

maternal morbidities due to forceps procedure

A

3rd (EAS) and 4th (rectum) degree lacerations
vaginal and cervical laceration
urinary incontinence
anal incontinence
pelvic organ prolapse
urinary retention and bladder dysfunction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

perinatal morbidities due to forceps/vaccum procedure

A

vaccum: cephalohematoma, subgaleal hemorrhage, retinal hemorrhage, neonatal jaundice, shoulder dystocia, clavicular fracture, scalp lacerations
forceps: facial nerve injury, brachial plexus injury, depressed skull fracture, corneal abrasion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

classification of breech presentations

A 
frank
complete
incomplete
footling
stargazer
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

how to decide on cs or vaginal delivery for breech

A

24-32 wks: planned cs better
32-37 wks: depends on fetal weight

vaginal breech if weight >2500 g

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

t/f for large fetus >3800-4000g, cs is perferred

A

true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

presentations where cs is better

A

incomplete or footling breech

hyperextended head

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

three methods of breech delivery

A

spontaneous breech delivery
partial breech extraction
total breech extraction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

cardinal rule in partial breech extraction

A

steady, gentle, downward traction until the lower halves of the scapulas are delivered, making no attempt at delivery of the shoulders and arms until one axilla becomes visible

17
Q

maneuvers to deliver head

A
  • maureiceau maneuver : fingers on maxilla to flex the head, downward action
  • modified prague maneuver when fetal back down
  • pipers forceps / divergent laufe forceps
18
Q

maneuvers for trapped head

A 
duhrssen incision: incision at 2:00 and 10:00 position
iv nitroglycerin 100 ug
general anesthesia
zavanelli maneuver
symphysiotomy
19
Q

t/f the forceps blased are not applied until the aftercoming head has been brought into the pelvis by gentle traction, combined with suprapubic pressure and is engaged

A

true

20
Q

maneuver where two fingers will push knee away from midline and spontaneous flexion of extremity follows

A

pinard maneuver used in

breech decomposition

21
Q

t/f death is higher in planned cs deliveries for breech

A

true

22
Q

t/f umbilical cord prolapse is more frequent in breech than cephalic

A

true

23
Q

t/f hip dysplasia is more common in cephalic than breech

A

false

24
Q

maneuvers where fetal presentation is altered by physical manipulation either by substituting one pole of a longitudinal presentation for the other, or converting an oblique or transverse lie into a longitudinal presentation

A

version, can be external or internal

25
Q

when can version be done

A

before labor, at 36 wks aog but not earlier

before 36 wks, breech presentation can still spontaneously be corrected

26
Q

contraindications for ecv

A 
placenta previa
non reassuring fetal status
rupture of membranes
uterine malformation
multifetal gestation
recent uterine bleeding
previous uterine incision
27
Q

when is ipv done

A

delivery of a second twin with membranes still intact

28
Q

usual reasons for cs delivery

A

prior cs delivery
dystocia
fetal jeopardy
abnormal fetal presentation

29
Q

timing of delivery for cs

A

before 39 weeks

30
Q

techniques for abdominal incisions

A 
pfannenstiel incisions (transverse)
vertical incision
31
Q

advantages and disadvantages of pfannenstiel incisions

A

a: low postop pain, low fascial wound dehisence, low rates of incisional hernia
d: not advisable of large operating space, high infection rate, neurovascular damage, re-entry difficult

32
Q

advantages and disadvantages of vertical abdomen incisions

A

a: quick entry, minimal blood loss, superior access to upper abdomen, generous op room
d: poor cosmetic results, higher fascial dehisence or incisional hernia rates, greater post-op pain

33
Q

hysterotomy techniques

A 
kerr incision (transverse)
kronig incision (vertical)
classical (vertical above lus)
34
Q

most frequently selected vs transverse incision of choice

A

most frequent: pfannenstiel

transverse of choice: joel-cohen (finger dissection)

35
Q

what is misgav ladach technique

A

closes the myometrium with single-layer locking continuous suture

36
Q

indications for peripartum hysterectomy

A 
uterine atony
abnormal placenta
uterine extension / rupture
cervical laceration
postpartum uterine infection
leiomyoma
invasive cervical cancer

10 OB (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions