Fetal Dystocia

Question 2

Def of Fetal Dystocia

Answer 2

• Difficulty in delivery of fetus due to abnormal fetal size)

Question 3

Etiology of Fetal Dystocia

Answer 3

Question 4

Etiology of Macrosomia

Answer 4

Question 5

Complications of Macrosomia

Answer 5

Question 6

Etiology of Shoulder Dystocia

Answer 6

• Pre-labor
• labor Related

Question 7

Etiology of Shoulder Dystocia

• Pre-labor factor

Answer 7

Question 8

Etiology of Shoulder Dystocia

• Labor factor

Answer 8

Question 9

Complications of Shoulder Dystocia

Answer 9

Question 10

CP of Shoulder Dystocia

Answer 10

Question 11

Prevention of Shoulder Dystocia

Answer 11

Question 12

Management of Shoulder Dystocia

Answer 12

Question 13

Management of Shoulder Dystocia

• Intro

Answer 13

Question 14

Maneuvers in Shoulder Dystocia

Answer 14

• Gentle Downward Traction with suprapubic Pressure
• McRobert’s Maneuver
• Wood’s Screw Maneuver
• Bringing down posterior arm
• Zavanelli maneuver (cephalic replacement
  & doing CS)
• Others

Question 15

Maneuvers in Shoulder Dystocia

• Gentle Downward Traction with suprapubic Pressure

Answer 15

Question 16

Maneuvers in Shoulder Dystocia

• McRoberts’s Maneuver

Answer 16

Question 17

Maneuvers in Shoulder Dystocia

• Wood’s Screw Maneuver

Answer 17

Question 18

Maneuvers in Shoulder Dystocia

• Bringing Down Posterior Arm

Answer 18

Question 19

Maneuvers in Shoulder Dystocia

• Zavanelli Maneuver (Cephalic Replacement & Doing CS)

Answer 19

Question 20

Maneuvers in Shoulder Dystocia

• Fracture of Clavicle

Answer 20

• Can be done to I diameter of shoulder (it is done by upward pressure against mid portion of clavicle to avoid injury of subclavian vessels

Question 21

Maneuvers in Shoulder Dystocia

• Cleidotomy

Answer 21

• Cutting clavicle by scissors (done for dead fetus).

Question 22

Maneuvers in Shoulder Dystocia

• Symphysiotomy

Answer 22

• May be done to overcome contracted pelvis.

Question 23

Maneuvers in Shoulder Dystocia

• Abdominal Rescue

Answer 23

• Low transverse hysterotomy is performed & fetal shoulder is assisted below symphysis pubis followed by vaginal delivery of fetus.

Question 24

Maneuvers in Shoulder Dystocia

• All Four maneuver

Answer 24

• Patient is guided to all four positions on her hands & knee, Increase the pelvic capacity by 30%

Question 25

Maneuvers in **Shoulder Dystocia** - Squatting Position

Answer 25

It is suggested to increased capacity of pelvic outlet.

Question 26

Maneuvers in **Shoulder Dystocia** - Rotation of fetal shoulder by Shute parallel forceps

Answer 26

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