Practice Quiz

CPM Certified Professional Midwife

Category - The Postpartum Period

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A multigravida woman is determined to have obstetric abnormalities. Examination reveals a case of unstable lie. Which of the following is a possible management for her?
  1. Existence of placenta previa should be determined
  2. Vaginal delivery if condition is stable
  3. Cesarean section if any complicating factors are present
  4. All of the above
Explanation
Answer: D - All of the above

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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