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TEALE FENNING Medical Education
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Hopeful
Joined: 03 May 2007 Posts: 68
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Posted: Sat Feb 21, 2009 11:33 pm Post subject: cord presentation at full dilatation |
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| 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 |
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Nick Raine-Fenning Course Director
Joined: 27 May 2006 Posts: 2037 Location: Nottingham
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Posted: Sun Feb 22, 2009 7:43 pm Post subject: |
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By emergency casearean section
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! |
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