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Malpresentations and Positions & Operative Obstetrics

Question
28 out of 28
 

External cephalic version is contra indicated in:



A Flexed breech
B Primigravida

C PIH
D Prematurity


Ans. C

PIH

1. More precisely the “severe proteinuric olypcatusine” Patil

2. Contra indication of ECV are

a. Fetal causes-congenital malformations, dead fetus, IUGR, hyperextension of the head

b. Antepartum haemorrhage

c. Ruptured membranes

d. Multiple pregnancy

e. Contracted pelvis

f. Previous caesarean section

g. Obstetrics complications severe pre eclampsia, obesity, elderly primigravida, bad obstetrics history

h. Rh incompatibility

i. Known congenital malformation of uterus

j. ECV is done to bring the favorable cephalic pole in the lower pole of uterus. It is done ideally at 35-37 weeks.

3. Successful version is likely in the following cases:

i. Complete breech

ii. Non engaged breech

iii. Sacroanterior position

iv. Adequate liquor

v. Non obese patient

Malpresentations and Positions & Operative Obstetrics Flashcard List

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