Obstetrical Maneuvers

Question 1

most common obstetrical maneuver

Answer 1

mutation (correction) and forced extraction (may be after mutation)

Question 2

recommended obstetrical maneuver for small animals

Answer 2

CS

Question 3

change of presentation, position, posture to bring fetus to a normal presentation, position, posture

Answer 3

mutation/correction

Question 4

specific manipulations

Answer 4

1. repulsion or retropulsion - done for small pieces
2. rotation - in cases where you have problems w/ position
3. version - presentation problems
4. extension and flexion - posture problems

Question 5

requirements prior to performing mutation

Answer 5

• complete dilatation of cervix
• movement of fetus in uterus and pelvis
• rupture of fetal envelopes
• adequate lubrication
• caudal epidural

Question 6

w/c is more prefered: mineral oil or vegetable oil

Answer 6

vegetable oil

Question 7

it pumps in lubricants into uterus

Answer 7

stomach pump

Question 8

used for coat lining of birth canal

Answer 8

vaseline

Question 9

returning of fetus back to uterus

Answer 9

retropulsion

Question 10

useful instrument for retropulsion

Answer 10

1. Kuhn’s crutch - U-shaped
2. Reindi’s repeller
3. Gunther repeller

Question 11

T/F: retropulsion should be done when the uterus is relaxed and the abdomen is not contracting

Answer 11

T

Question 12

_______________ - turning the fetus on its long axis to correct the position using hands or ___________________

Answer 12

1. rotation (aims for dorsopubic or dorsoileal)
2. Cammerer’s detorsion fork

Question 13

effecting change in fetal presentation

Answer 13

version

Question 14

T/F: it is difficult if you want to convert from posterior longitudinal to anterior longitudinal presentation

Answer 14

T

Question 15

T/F: perform version if the fetus is in transverse position

Answer 15

T

Question 16

T/F: as long as the limbs are extended, forced extraction can be done

Answer 16

T

Question 17

T/F: transverse presentation can be modified to a longitudinal presentation

Answer 17

T

Question 18

type of version where you move the head of the fetus towards the pelvic inlet

Answer 18

anterior or cephalic version

Question 19

type of version where posterior parts of fetus are moved towards the pelvic inlet

Answer 19

posterior or pelvic version

Question 20

extension and flexion involves:

Answer 20

• repulsion of proximal extremity of limb
• lateral rotation of middle portion carpus, tarsus, neck
• traction on distal extremities

Question 21

done in forelimbs

Answer 21

conversion

Question 22

T/F: carpal flexion should be converted first into elbow flexion

Answer 22

F - baliktad

Question 23

T/F: shoulder flexion should be converted first into elbow flexion then carpal/shoulder flexion then carpal flexion again

Answer 23

T

Question 24

T/F: hip flexion should be converted first to hock flexion

Answer 24

T

Question 25

withdrawal of fetus from birth canal of dam by application of force

Answer 25

forced extraction

Question 26

T/F: forced extraction needs adequate lubrication

Answer 26

T

Question 27

T/F: forced extraction follows a upward arc direction

Answer 27

F - downward

Question 28

longest diameter = ______________
widest portion of fetus = ______________

Answer 28

1. oblique diameter
2. shoulder and hip

Question 29

obstetrical operation w/c has the object of reduction in the volume of fetus either by mutilation or by division to be extracted in parts

Answer 29

fetotomy