Obs & Gynae

Question 1

requirements for instrumental delivery

Answer 1

FORCEPS:

• Fully dilated cervix generally the second stage of labour must have been reached
• OA position preferably OP delivery is possible with Keillands forceps and ventouse. The position of the head must be known as incorrect placement of forceps or ventouse could lead to maternal or fetal trauma and failure
• Ruptured Membranes
• Cephalic presentation
• Engaged presenting part i.e. head at or below ischial spines the head must not be palpable abdominally
• Pain relief
• Sphincter (bladder) empty this will usually require catheterization

Question 2

management of vaginal candidiasis

Answer 2

• local treatments include clotrimazole pessary
• oral treatments include itraconazole 200mg PO bd for 1 day or fluconazole 150mg PO stat

oral treatment contraindicated in pregnancy