operational deliveries

Question 1

indications for operative vaginal delivery?

Answer 1

maternal exhaustion, failure to progress, medical indications to avoid prolonged pushing such as cardiac disease or hypertensive crisis

Question 2

safety criteria for operative vaginal delivery?

Answer 2

head must be engaged. less than one fifth palpable
station must be at level of ischial spines or below
caput and moulding is no more than moderate
cervix fully dilated and membranes ruptured
exact position of head has been determined and correct placements of instruments can be achieved

Question 3

when can you to do operative vaginal delivery?

Answer 3

mal presentation : breech

absolute - cephalopelvic disproportion

Question 4

what is cephalopelvic disproportion ?

Answer 4

baby head is too big to fit through mothers pelvis

this is an ABSOLUTE contraindication to operational vaginal delivery

Question 5

complications of forceps delivery?

Answer 5

perinneal trauma
facial bruising
temporary facial nerve palsy

Question 6

post operative complications of c section?

Answer 6

increased risk of placenta previa and uterine rupture with vaginal birth after c section