Operative Obstetrics Part 1 Version to Episiotomy (30a)

Question 1

turning the fetus, to change fetal presentation by abdominal or intrauterine manipulation

Question 2

type of version: changed from a breech, shoulder,
or oblique to a cephalic presentation by external manipulation of
the maternal abdomen

Question 3

criteria for ecv

Answer 3

> 37 or more weeks of gestation
reactive non stress test
fetal breech not engaged

Question 4

contraindications for ecv

Answer 4

> maternal problems
complications of pregnancy (rupture of membranes, oligo-hydram-nios, or placenta previa)
fetal size (4000 g or larger)
CPD
Previous caesarean birth
multiple gestation
non-reassuring FHR
Fetal abnormalities
Engagement of the fetal presenting part into the pelvis

Question 5

prerequisites for ECV

Answer 5

• UTZ
• Fetal Heart Rate
• Tocolytic Agent

Question 6

Type of version: used in 2nd twin during a vaginal birth if twin does not descend readily.

OB places hand in uterus, and with the other hand on maternal abdomen.