TEALE FENNING Forum Index TEALE FENNING
Medical Education
 
 FAQFAQ   SearchSearch   MemberlistMemberlist   UsergroupsUsergroups   RegisterRegister 
 ProfileProfile   Log in to check your private messagesLog in to check your private messages   Log inLog in 

cord presentation at full dilatation

 
Post new topic   Reply to topic    TEALE FENNING Forum Index -> Open Forum
View previous topic :: View next topic  
Author Message
Hopeful



Joined: 03 May 2007
Posts: 68

PostPosted: Sat Feb 21, 2009 11:33 pm    Post subject: cord presentation at full dilatation Reply with quote

a patient with mild placental abruption goes to full dilatation after syntocinon augmentation, ctg becomes pathological. she is taken to theatre for trial as head is at spines with a big caput. In thetre assessment shows LOA at spines to +1 caput ++, and cord presenation. how would you deliver her? ctg is showing rising baseline to 170 with variable deceleration
Back to top
View user's profile Send private message
Nick Raine-Fenning
Course Director


Joined: 27 May 2006
Posts: 2037
Location: Nottingham

PostPosted: Sun Feb 22, 2009 7:43 pm    Post subject: Reply with quote

By emergency casearean section Very Happy

Whilst vacuum and, believe it or not, forceps are appropriate at 9cm and full dilatation for cord prolapse I would advise caution in the Exam, and in real life for that matter, and CS if there are any other factors and if there is not good progress - here we have +1 and caput ++ = CS!
Back to top
View user's profile Send private message Send e-mail Visit poster's website
Display posts from previous:   
Post new topic   Reply to topic    TEALE FENNING Forum Index -> Open Forum All times are GMT
Page 1 of 1

 
Jump to:  
You cannot post new topics in this forum
You cannot reply to topics in this forum
You cannot edit your posts in this forum
You cannot delete your posts in this forum
You cannot vote in polls in this forum


Powered by phpBB © 2001, 2005 phpBB Group