Page 1 of 2: OBSTETRICS AND GYNAECOLOGY-primigravida fully dilated with v

rakhijain · Credits: 14697 My Scrapbook

primigravida fully dilated with vertex presentation.
Q. A primigravida is fully dilated with vertex presentation. The head is well rotated and the station is +2 . there is late deceleration on foetal heart monitoring . If the pelvis is adequate , the most appropriate management in the case would be :
a. Waiting for spontaneous delivery
b. Forceps delivery
c. Vaccum extraction
d. Caesarean section

deepti · Credits: 3283 Preparing for: MRCOG Part 1 My Scrapbook

what i think is
late deceleration

placental insufficiency

rapid delivery req ,vaccum exractn takes time ,as cervix is fully dilated ,one can go for forceps

decembermist · Credits: 41468 Preparing for: Kerala PG My Scrapbook

wats the ans given

dr_nidhi · Credits: 13396 My Scrapbook

forceps seems to be the rite option....

shri28 · Credits: 134 Preparing for: DNB Part 2 My Scrapbook

in this case what is imp is early delivery. but this is mcq we have to go for most apropriate single response. i think it should be forceps.

ratnakar_potla · Credits: 5723 Preparing for: USMLE Step 1 My Scrapbook

I TOO FEEL ITS FORCEPS.

parin · Credits: 14996 My Scrapbook

yes, forceps..
All conditions are suitable for forceps- station +2, vertex, fullt dilated cervix..

nazia_k · Credits: 2934 Preparing for: Canada My Scrapbook

forceps delivery

naga65 · Credits: 709 Preparing for: MRCOG Part 1 My Scrapbook

i think the answer is waiting for spontaneous delivery bec. the station is +2

drada · Credits: 45956 Preparing for: AIPGE My Scrapbook

drada · Credits: 45956 Preparing for: AIPGE My Scrapbook

its not cord compression,which cause variable decelaration
its head compresion which cause early decelaration

I asked one leading consultant abt this,he is sure that its forceps delivery

El-Tourki · Credits: 135 My Scrapbook

sorry i couldn't open new topic,, but i got very good Q for ya, so plz help me

if there are a lot of ladies laying on the bed, and all of them are post normal vaginal delivery.... so what is the best position for her, right away after birth?

1- supine
2-in here left
3-in her right side
4-semi setting

drada · Credits: 45956 Preparing for: AIPGE My Scrapbook

Anooos · Credits: 5646 Preparing for: MRCOG Part 2 My Scrapbook

VENTOSE...
SEC..Q...TRICKY

kula · Credits: 17779 Preparing for: MRCOG Part 2 My Scrapbook

hi
As The head is at station 2 two options can be correct..1If she is having good contrations,..wait and watch she will deliver..2 Apply ventouse..regarding foreps consider medical litigations later if something goes wrong and u dont know now..

pama · Sunday 6th of January 2008 08:28:25 PM (2 years ago) **#16**

i am sure it's FORECEPS

OGKOKO · Credits: 120 My Scrapbook

Low FORCEPS will be the most appropriate ?

assh · Credits: 364 Preparing for: MRCP Part 1 My Scrapbook

Isnt forcep option sufficient...why go for OT?????

DrChitra · Credits: 445 Preparing for: MRCOG Part 1 My Scrapbook

the answer is in the Q itself.
the very fact that the pre-requisites for a forceps application are given inthe Q, gives forceps as the ans.

drra · Credits: 135 My Scrapbook

Date deceleration in sign of fetal hypoxia, so delivery must be speeded up. Since the head is at +2 station, fully rotated, pelvis adequate and vertex presentation, both forceps and vacuum can be applied. But given a choice out of vacuum and forceps, vacuum is preferable as it is associated with fewer complications. So the answer is Vacuum.

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