operative delieveries

Question 1

which operative vaginal delivery criteria needs to have adequate analgesia? Forceps or vacuum extraction

Answer 1

Forceps

-note that vacuum extraction doesn’t need adequate analgesia

Question 2

Fetal criteria for forceps; the station of the fetal head must be > ?…. +1, +2, +3, +4

Answer 2

fetal head must be > +2

Question 3

Simpson, Tucker-McLane, Elliot, what kind of forceps? classical, Rotational,

Answer 3

classical

-note classical had a pelvic curvature, rotational does not

Question 4

what are some examples of rotational forceps

Answer 4

Kielland and Barton

-remember these do NOT have a pelvic curvature like the classical forceps

Question 5

what is the name of the for cep that is used to assist vaginal breech deliveries? Elliot, Keilland, Piper

Answer 5

Piper

-these to also lack a pelvic curve like those of rotational forceps

Question 6

which forceps are used the most and the fetal skull has reached the level of the pelvic floor? outlet forceps, low forceps

Answer 6

outlet forceps

-note low forceps the fetal skull station is +2 or more but has not reached the pelvic floor

Question 7

How should the forceps lay on the fetus head

Answer 7

should lie against the fetal head so that they cover the space btw the orbits and ears

Question 8

who has more failed deliveries? vacuum or forceps

Answer 8

vacuum

Question 9

which has an increased incidence of fetal cephalohematoma? vacuum or forceps

Answer 9

vacuum

• note both have this complication
• note vacuum also has more scalp lacerations and bruising

Question 10

which has fewer maternal perineal injuries? vacuum or forceps

Answer 10

vacuum

Question 11

what operation technique can have a complication of facial and brachial plexus injuries? forceps, vacuum, C-section

Answer 11

forceps

Question 12

Indication for the vacuum is similar to forceps. What is the advantage of using vacuum?

Answer 12

delivery can be achieved w/ little maternal analgesia

Question 13

who has contraindications such as; gestational age less then 24 wks, suspected fetal coagulation disorder, suspected fetal macrosomia, breech presentation

Answer 13

vacuum

Question 14

who do we never put forceps/vacuum on

Answer 14

diabetic

-I dunno she said it in class

Question 15

when do you release suction? and how long can we applay the vacuum?

Answer 15

release suction btw contractions.

-should not be applied more than 20 minutes

Question 16

what is the most common hospital based operative procedure in the USA

Answer 16

C-section

Question 17

what is a big possible reason why to use a C-section. She made it clear in class

Answer 17

active genital herpes

-note elderly people tend to get C-sections more

Question 18

nonreassuring fetal HR, immune thrompocytopenic purpura, very low birth weight (less than 1500g) are indications for what kind of assisted delivery

Answer 18

C-section

Question 19

Placental abruption or placental previa are indications for what assisted delivery option

Answer 19

C-section

Question 20

If the mom has benign or malignant tumors or large vulva condyloma. what assissted delivery are we trying to do

Answer 20

C-section

Question 21

what type of uterine incisions do we have require repeat C-section bc risk of uterine rupture

Answer 21

Classical and T it up.

• this came from the picture of the incisions
• note Most common used is low transverse uterine incision

Question 22

when do we see the complication of uterine atony?

Answer 22

C-section

Question 23

when do we see the operative complication of placenta accrete?

Answer 23

C-section

• tx w/ cesarean hysterectomy
• note vacuum has complications of placental abruption and placental previa