Question
Which one of the following is NOT a method of management of Deep Transverse Arrest with the living fetus?
The correct answer is
Delivery by application of forceps to the unrotated head
Understanding Deep Transverse Arrest Management
Deep Transverse Arrest is a complication during labor where the fetal head fails to rotate from a transverse position and descend further.
Evaluating Management Options
The management of Deep Transverse Arrest with a living fetus aims for a safe delivery. Let's analyze the options:
- Caesarean section: This is a standard surgical procedure often employed when vaginal delivery is impeded or unsafe, including cases of arrest.
- Delivery by ventouse (vacuum extractor): Vacuum extraction can be used as an assistive device during the second stage of labor, potentially aiding rotation or delivery once the position is favorable.
- Manual rotation and application of forceps: This involves attempting to manually correct the fetal head's position (rotation) followed by instrumental delivery using forceps if successful. This is a recognized approach.
- Delivery by application of forceps to the unrotated head: This is generally NOT a recommended or safe method. Forceps application requires the fetal head to be in an appropriate position, typically rotated towards the anterior. Applying forceps to an unrotated head during arrest can increase risks to both mother and fetus and is not a standard management technique.
Conclusion on Incorrect Method
Based on standard obstetric practice, applying forceps directly to an unrotated head is not a primary or recommended method for managing Deep Transverse Arrest with a living fetus. The other options represent accepted interventions.
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Important Questions from Complicated Labour Management
- Successful version of breech presentation is likely in case all of the following EXCEPT:
- Given below are the Obstetric maneuvers and their indications. Which one of the following is correctly matched?
- 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 : - Indications and prerequisites for delivery with the ventouse include which of the following?
1. Delay in the second stage of labour
2. Non-reassuring fetal heart rate
3. Gestation age less than 34 weeks of pregnancy
4. Vertex presentation
Select the correct answer using the code given below. - Which of the following drugs should be avoided in labouring women with bronchial asthma?
1. Opioid analgesics
2. Prostaglandin $F2\alpha$
3. Prostaglandin E1
4. Ergometrine
Select the correct answer using the code given below.
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