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Malpresentations and Positions & Operative Obstetrics

Question
20 out of 28
 

Elective forceps is indicated in all except: (AIIMS Nov. 2010)



A Head at ‘0’ station

B Vertex and face presentation in mento anterior

C Caput succedaneum may be present

D Sagital suture at 15o to anterio posterior diameter

Ans. A

Head at ‘0’ station

Procedure

Criteria

Outlet

1. Scalp is visible at introitus without separating the labia (station +3)

2. Fetal skull has reached pelvic floor

3. Sagittal suture is in anteroposterior diameter or right or left occiput anterior or posterior position

4. Fetal head is at or on the perineum

5. Rotation does not exceed 45 degrees

Low

Leading point of fetal skull is at station +2 , and not on pelvic floor

Rotation is 45 degree or less (left or right occiput anterior to occiput anterior, or left or right occiput posterior to occiput posterior)

Rotation is greater than 45 degrees

Midpelvic

Station above +2 cm but head is engaged

High

Not included in classification


In modern day obstetrics forceps is not applied if station is above +2 (station should be at least +2 before applying forceps).

Malpresentations and Positions & Operative Obstetrics Flashcard List

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