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Malpresentations and Positions & Operative Obstetrics

Question
21 out of 28
 

30 yrs old female comes with obstructed labour and is febrile & dehydrated with IUFD and cephalic presentation. Which is the best way to manage (AIIMS May 2011)



A Craniotomy
B Decapitation

C Cesarean section
D Forceps extraction

Ans. C

Cesarean section

a. Two main principles in management of obstructed labor are:

i. Never wait and watch.

ii. Never use oxytocin.

b. In patients of obstructed labor, the uterine contractions (power) are always adequate.

c. The patient should be given IV fluids to correct the dehydration and ketoacidosis, which usually develops due to prolonged labor. Patient should be given antibiotics to prevent infection, and then steps should be taken to immediately relieve the obstruction by LSCS.

d. LSCS may have to be done even if the baby is dead and if vaginal delivery is not possible, or else rupture uterus will occur.

e. In modern day obstetrics, destructive operations are never to be performed as they are more dangerous & can lead to complications like rupture uterus, bladder injury.

f. LSCS is much safer than destructive operations

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