Practice Quiz

CPM Certified Professional Midwife

Category - The Postpartum Period

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A 2nd gravida at 38 weeks of pregnancy developed a condition whereby the fetal presentation was continuously in transition instead of stabilized. Which of the following is the probable reason?
  1. Transverse lie
  2. Unstable lie
  3. Ruptured uterus
  4. None of the above
Explanation
Answer: B - Unstable lie

Unstable lie is a condition whereby the fetal presentation is continuously in transition instead of stabilized at 9 months of the pregnancy. Causes of unstable lie include:
1. Grand multiparity
2. Polyhydramnios
3. Contracted pelvis
4. Placenta previa

Management of unstable lie includes:
1. Exclusion of placenta previa and contracted pelvis by ultrasound
2. Vaginal delivery if condition is stable
3. Cesarean section if any complicating factors are present
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