Anatomy of birth

Question 1

Leading causes of maternal death in UK

Answer 1

Cardiac disease
Thromboembolism
Stroke
Sepsis

Question 2

Blood supply to uterus

Answer 2

Uterine vessels and ovarian peduncle

Question 3

Complications of obstructive labour

Answer 3

Shoulder dystocia
Maternal sepsis
Haemorrhage

Question 4

What is the occipital-posterior position?

Answer 4

Back of baby’s head is next to maternal spine = leading cause of labour obstruction

Question 5

What is the station of a baby?

Answer 5

Relative to the ischial spine and how the top of the baby’s head has moved

Question 6

Cephalohaematoma

Answer 6

bleeding within periosteum, causes bump on baby’s head - bleeding not likely to spread

Question 7

Subgaleal haemorrhage

Answer 7

between skin and periosteum - bleeding can cause baby to go into shock - can extend into body - no bump

Question 8

Shoulder dystocia management

Answer 8

McRoberts procedure: hips are flexed, knees by shoulders, flattens sacral promontory

Question 9

Which nerve roots cause Erb’s palsy?

Answer 9

C5/6 = axillary

Question 10

Which nerve roots cause Klumpke’s palsy?

Answer 10

C8/T1 = ulnar

Question 11

Which palsy is caused by shoulder dystocia?

Answer 11

Erb’s