Operative Delivery Flashcards
What does operative mean?
-not spontaneous
What are the 2 categories of operative delivery?
- vaginal: forceps assisted, vacuum extracted
- cesarean delivery
What do we have to make sure we can do if a vaginal operative delivery fails?
-do a c section
What do we definitely have to know about the fetus before we do an operative delivery?
- the position of the fetal head
- station of the fetal head must be >+2
What does the cervix have to be to do operative delivery?
fully dilated
What are piper forceps used for?
-breech presentation
how does the numbering system work for the position of the head?
- -3 to +3 from pelvic brim to just above the ischial tuberosity
What is the best position for the baby’s head? Where should it be looking?
-DOWN… it needs to be looking down
What is the main advantage for using a vacuum instead of forceps?
-delivery can be achieved with little maternal analgesia
contraindications to vacuum assisted vaginal delivery
- gestational age less than 34 weeks
- suspected fetal coagulation disorder
- suspected fetal macrosomia
- breech presentation
where do we place the vacuum?
-posterior fontanelle
What is the number of pop offs that we can have?
- no more than 2
- 2 strikes you’re out
vacuum vs. forceps?
- more failed deliveries with vacuums
- fewer perineal injuries
- increased incidence of fetal cephalohematoma
- more scalp lacerations and bruising
What STI do we like automatically do a C section with?
-active herpes simplex virus infection
