Page 1 of 3: obstetrics-delivery

jayanta · Credits: 35603 My Scrapbook My Reading List 45 Books

IN A WOMAN WITH PREVIOUS CAESARIAN SECTION ,NOT AN INDICATION OF CAESARIAN SECTION:
1.OCCIPITOPOSTERIOR POSITION.
2.FETAL DISTRESS.
3.BREECH.
4.MIDPELVIC CONNTRACTION.
AS PER THE RULE POST C/'S PREGNANCY IS DEALT WITH C/S.
SO THE ANSWER MUST BE NONE.
BUT THEY HAVE ASKED FOR A SINGLE ANSWER.
IT IS AN AIIMS QUESTION.
PLEASE HELP MY FRIENDS.
REGARDS.
THANKX.

ujwals · Credits: 4860 My Scrapbook

dutta says previous scar (like cs) is a relative indication
in pr of scar cs is indicated when complications arise like MALPRESENTATION, APH , FETAL DISTRESS ,recurrent condition (CPD)

so ans is none but if i have ans, i'll go for breech

ujwals · Credits: 4860 My Scrapbook

so ans is none but if i have TO ans, i'll go for breech

ortho_obsessed · Credits: 110 My Scrapbook

I'll go for breech too,unless of course its a footling breech

prolene · Credits: 5531 My Scrapbook

4. Midpelvic contraction.

If a patient had a previous CS, then presence of any of the above would be an absolute indication for CS except Midpelvic contraction.

cingulate_gyrus2006 · Credits: 22810 My Scrapbook

What about occipito posterior presentation...

gunjan83 · Credits: 3767 My Scrapbook My Reading List 1 Books

why would occipitoposterior postion be reason for c.s? i think it shud be occipitoposterior position.

prolene · Credits: 5531 My Scrapbook

Its not midpelvic contraction (Hiding), i was wrong (Prepares to run), its Occipito posterior position (Runs away), I'll be back with more knowledge.

jayanta · Credits: 35603 My Scrapbook My Reading List 45 Books

OOO---OOO---PPP---SSS---.............
WHAT A CONFUSION!
PLEASE HAVE A CONCRETE FINAL ANSWER.
REGARDS.

prolene · Credits: 5531 My Scrapbook

The answer is Occipito-posterior position:

66% of cases with OP position will deliver as OA, 12% will deliver spontaneoulsy as face to pubes and rest of the cases:

1. Some may require an episiotmy if occipito-frontal diameter is distending the perineum.

2. Internal roatation may be interrupted by prominent ischial spines or may be restricted by reduced pelvic diameters e.g. android pelvis, delivery then has to be completed by section or if full dilatation has taken place then Manual or Forecep delivery can be done.

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