Obstetric Emergencies

Question 1

Turtle sign is indicative of Shoulder Dystocia, what is it?

Answer 1

The baby’s head suddently restracts back

Question 2

What do we do then to fix shoulder Dystocia?

Answer 2

McRobert’s maneuver

Question 3

What is McRobert’s maneuver?

Answer 3

The sharp flexion and abduction of the maternal hips.

Question 4

McRobert’s alone isn’t enough, what is done in conjunction?

Answer 4

Suprapubic pressure. We do both together. Generally enough to fix shoulder Dystocia 50-60% of the time

Question 5

If mcroberts fails?

Answer 5

Deliver posterior arm or try internal rotational maneuvers

Question 6

But what if posterior arm delivery and internal rotational maneuvers fail?

Answer 6

Try the ALL Fours position.

Question 7

Last line treatment for shoulder Dystocia

Answer 7

Cleidotomy. The cutting of the collar bone.

Question 8

What is the most important sign of uterine rupture in a woman undergoing TOLAC?

Answer 8

Manifestations of fetal distress noticed on CTG

Question 9

Treatment of Uterine rupture

Answer 9

Immediate vigorous anti-shock treatments, then complete a hysterectomy if the tear is unrepairable

Question 10

What is the most common cause of maternal morbidity in developing nations?

Answer 10

Postpartum hemorrhage

Question 11

Commonest cause of primary PPH

Answer 11

Uterine Atony

Question 12

Bandl’s ring is a sign of

Answer 12

Impending placental abruption

Question 13

Placenta percreta is defined as villi invading the

Answer 13

Uterine serosa and bladder