Obs - Problems in Delivery Flashcards
what happens in breech?
baby is born bum first
what is the most dangerous position for babies to be in at birth?
footling (one foot down)
risk factors for breech?
multiple pregnancy polyhydramnios oligohydramnios Hx high parity uterine abnormalities fetal abnormalities
when can external cephalic eversion be done? what else should be checked?
36wks
CHECK RHESUS STATUS
what is cord prolapse?
when the umbilical cord descends through the cervix, in the presence of ruptured membranes
features of cord prolapse?
cord felt PV
fetal distress after membrane rupture
pulsatile mass
Tx for cord prolapse?
stop syntocinon (if on) terbutaline (delays labour) elevate cord (knees to chest on front) deliver baby
what happens in shoulder dystocia?
anterior shoulder stuck on pubic symphysis
posterior impacts on sacral promontory
risk factors for shoulder dystocia?
Hx macrosomia DM induction short stature BMI
features of shoulder dystocia?
high head
head retracts between contractions
failure of restitution
Tx for shoulder dystocia?
discourage pushing mcroberts suprapubic pressure internal rotation all fours
maternal complications for shoulder dystocia?
PPH
tears
uterine rupture
symphysis separates
what is erb’s palsy?
waiters tip
C5,6,7
arm is IR, forearm + wrist extended
what is klumpke’s palsy?
C8, T1
clawing of fingers
what do you give the patient if they have a pre term rupture of membranes?
Abx (erythromycin)
steroids <36wks
IV magnesium sulphate
