Medicine an Surgery notes

Apr 24th, 2015
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OPERATIVE OBSTETRICS 1. FORCEPS DELIVERYNOT done in our region due to shorter pelvisesCLASSIFICATION OF FORCEPS DELIVERY ACCORDING TO STATION AND ROTATIONType of ProcedureClassificationOutlet forcepsLow forcepsMidforcepsHigh1. Scalp is visible at the introitus without separating the labia2. Fetal skull has reached pelvic floor3. Sagittal suture is in anteroposterior diameter or right or left occiput anterior or posterior position.4. Fetal head is at or on perineum.5. Rotation does not exceed 45o.Leading point of fetal skull is at station ? +2cm, and not on the pelvic floor.1. Rotation ? 45o (left or right occiput anterior to occiput anterior, or left or right occiput posterior to occiput posterior).2. Rotation > 45oStation above +2cm but head engaged.Rarely indicated for labor termination specifically for maternal reasons.Not included in classification. (forceps are applied before engagement)Maternal indications (for operative vaginal delivery with either forceps or vacuum)heart diseasepulmonary injury or compromiseintrapartum infectioncertain neurological conditionsexhaustionprolonged second-stage labor- nulliparous woman - > 3 hours wit

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