Practice Quiz

CPM Certified Professional Midwife

Category - The Postpartum Period

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A woman (second gravida) presents with labor pain. Examination reveals that her cervix is fully dilated, and the fetal sagittal suture is transversely placed. Of the following, which may be the recommended management of this woman?
  1. Ventouse delivery
  2. Manual rotation
  3. Cesarean section
  4. All of the above
Explanation
Answer: D - All of the above

This is a case of a second gravida in labor with deep transverse arrest. The following is the probable management of this patient with deep transverse arrest. If her pelvis is adequate (and there is a determination of good fetal condition), the management may include:
1. Ventouse delivery
2. Manual rotation and application of foeceps
3. Forceps rotation and delivery

If there is cephalopelvic disproportion and/or a determination of “large baby”, the probable management is a cesarean section.
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