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Quick Scroll OBSTETRICS AND Gynaecology -primigravida fully dilated with v 10.30.04 (3 years ago) #1

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
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Quick Scroll 10.30.04 (3 years ago) #2

what i think is
late deceleration
icon_arrow.gif placental insufficiency icon_arrow.gif rapid delivery req ,vaccum exractn takes time ,as cervix is fully dilated ,one can go for forceps
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Quick Scroll 12.23.04 (3 years ago) #3

wats the ans given
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Quick Scroll 01.19.06 (2 years ago) #4

forceps seems to be the rite option....
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Quick Scroll 02.16.06 (2 years ago) #5

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.
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Quick Scroll 02.17.06 (2 years ago) #6

I TOO FEEL ITS FORCEPS.
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Quick Scroll 04.07.06 (2 years ago) #7

yes, forceps..
All conditions are suitable for forceps- station +2, vertex, fullt dilated cervix..
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Quick Scroll 06.14.06 (2 years ago) #8

forceps delivery
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Quick Scroll 12.02.06 (1 year ago) #9

i think the answer is waiting for spontaneous delivery bec. the station is +2
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Quick Scroll 12.02.06 (1 year ago) #10

naga65 wrote:
i think the answer is waiting for spontaneous delivery bec. the station is +2

no qn of spont delivery,there is cord compression
i think best take her to OT icon_exclaim.gif
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