Labour & Delivery

Question 1

Risk factors for placental abruption?

Answer 1

Proteinuric hypertension
Advanced maternal age
Cocaine use
Multiparity
Maternal trauma

Question 2

What is the potential rate of bowel adhesions post CS?

Answer 2

Pfannelstiel incision - upto 23%
Midline laparotomy incision - upto 50%

Question 3

Classical presentation of vasa previa?

Answer 3

Vasa previa = fetal blood vessels running across or near the cervical os
Presents with painless PV bleeding immediately after rupture of membranes
+ fetal bradycardia

Question 4

What is the most common reason for transfer to obstetric unit during attempted home delivery?

Answer 4

Delay / FTP in 1st or 2nd stage of labour

Question 5

At what gestation is ECV offered to nullips and multips respectively?

Answer 5

Nullips - 36 weeks
Multips - 37 weeks

Question 6

What are absolute contraindications for ECV?

Answer 6

Antepartum haemorrhage < 7 days
Ruptured membranes
Placental abruption
Abnormal CTG
Where LSCS would be required anyway
Multiple pregnancy (unless for the remaining twin after the first one has been born)