Malpresentation Flashcards Preview

Jason's MD3 Women's > Malpresentation > Flashcards

Flashcards in Malpresentation Deck (18):
1

How many women have breech at 36 weeks?

4-5%

2

Chance of baby turning at 36 weeks?

50%

3

Causes of breech presentation?

Oligohydramnios
Polyhydramnios
Placenta praevia
Fibroids
Bicornate uterus
Multiple pregnancy
Fetal abnormalities

4

Choices for breech?

ECV
C-section
Wait
Deliver breech
Positioning

5

When do ECV? How is it done?

37 weeks
CTG monitoring
U/S to confirm breech and liquor volume
Check for where cord is.

6

Dangers of ECV?

If cord is around neck

7

What fetal abnormalities can cause breech?

Anencephaly
hydrocephalus

8

How to relax uterus

Terbutaline

9

Complications of ECV?

Ruptured membranes
Placental abruption
Won't work
Painful
Maybe cause distress

10

When do c-sections in terms of weeks for breech?

39 weeks

11

What more risk of in breech?

DDH
Ultrasound
Ortalani

12

Breech delivery risks?

Counselling
Head gets stuck
Death

13

Grand multi para increased risk of?

PPH
Uterine atony,

14

Golden rule for breech delivery in labour?

Don't interfere

15

Transverse lie presentation, what to do in clinic?

ultrasound - check placenta and cord
Monitoring

16

Danger of water breaking with transverse lie?

Cord prolapse

17

cord prolapse management?

Keep fingers in vagina
Call for help
Keep them on all 4s
Trolley
Code GREEN

18

When do classical caesarean section?

No lower uterine segment
Extreme prematurity
Transverse lie
Major placenta praevia