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Question

Given below are the Obstetric maneuvers and their indications. Which one of the following is correctly matched?

The correct answer is
Ritgen's maneuver Controlled delivery of fetal head

Obstetric Maneuvers: Correct Indication Matching

This section clarifies the correct matching of obstetric maneuvers with their indications, focusing on the options provided.

Analyzing Obstetric Maneuver Indications

The question asks to identify the correctly matched pair of an obstetric maneuver and its indication. Let's analyze each option:

  • Option 1: McRobert's maneuver - After coming head of breech
    Incorrect. McRobert's maneuver is primarily used to help resolve shoulder dystocia by flexing the maternal thighs onto the abdomen. It is not typically indicated for breech presentation after the head has delivered.
  • Option 2: Lovset's maneuver – Delivery of foot in breech
    Incorrect. Lovset's maneuver involves rotation of the fetal body during breech delivery to aid in the delivery of the shoulders. It's not specifically for delivering a foot.
  • Option 3: Pinard's maneuver – Delivery of extended arm
    Incorrect. Pinard's maneuver is used to facilitate the delivery of a breech presentation, often by flexing a persistent hip or delivering a foot. It's not for an extended arm.
  • Option 4: Ritgen's maneuver – Controlled delivery of fetal head
    Correct. Ritgen's maneuver is a technique used during the final stage of childbirth to control the delivery of the fetal head, preventing rapid extension and potential perineal trauma. It involves applying gentle pressure upward on the chin and downward pressure on the occiput.

Correct Match Summary

The only correctly matched maneuver and indication among the choices is Ritgen's maneuver for the controlled delivery of the fetal head.

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Important Questions from Complicated Labour Management

  1. Which of the following are contra- indications to external cephalic version in antenatal management of breech presentation ? 

    1. Antepartum haemorrhage 

    2. Multiple pregnancy 

    3. Reactive Non Stress Test 

    4. Severe oligohydramnios 

    Select the correct answer using the code given below :

  2. Which of the following are the pre-requisites of outlet forceps delivery?
    1. Bladder should be empty
    2. Membranes should be intact
    3. Cervix should be fully dilated
    4. Fetal skull has reached level of pelvic floor
    Select the correct answer using the code given below :
  3. Which one of the following is NOT a method of management of Deep Transverse Arrest with the living fetus?
  4. Successful version of breech presentation is likely in case all of the following EXCEPT:
  5. The engaging diameter of brow presentation is:
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