Practice Quiz

CPM Certified Professional Midwife

Category - The Postpartum Period

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When the long axis of the fetus lies perpendicular to the maternal spine, it is called transverse lie. In a full-term delivery scenario, which of the following statements is true about the management of transverse lie? (Choose all that apply)
  1. Perform external cephalic version
  2. If external cephalic version fails, then deliver by cesarean section
  3. Do nothing to assist with the delivery
  4. None of the above
Explanation
Answer: A - External cephalic version and B - If external cephalic version fails, then deliver by cesarean section

When the long axis of the fetus lies perpendicular to the maternal spine, it is called transverse lie. There are 4 positions of transverse lie as follows:
· Dorso-anterior
· Dorso-posterior
· Dorso-superior
· Dorso-inferior

Management of transverse lie includes:
1. Performing external cephalic version
2. If external cephalic version fails, then deliver by cesarean section
3. If baby is stillborn, perform vaginal delivery
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