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  #1  
Old 05-29-2012
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ObGyn Newborn Stuck in Delivery!

While attending her patient in the final stage of labor, an obstetrician-gynecologist observes that the infantís head appears to be compressed tightly against the vulva. The physician is unable to slide her finger between the vaginal wall and the infantís face. At this point, the physician is alarmed, calls all personnel to the delivery room, and instructs that the motherís legs be drawn to a hyperflexed position. What is the most likely diagnosis for this condition?

A. Failure to progress
B. Fetal anomaly
C. Fetal occiput posterior
D. Fetopelvic disproportion
E. Shoulder dystocia
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  #2  
Old 05-29-2012
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Originally Posted by tyagee View Post
A. Failure to progress
B. Fetal anomaly
C. Fetal occiput posterior
D. Fetopelvic disproportion
E. Shoulder dystocia
my answer is based on omitting other answers (not A, D or E, B no sense)
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  #3  
Old 05-29-2012
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A. Failure to progress
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Old 05-29-2012
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my guess is C fetal occiputposterior

i think that means face presentation??
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Old 05-29-2012
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its either SHoulder Dystocia or Cephalo Pelvic Disproportion..
i think more likely SHOulder dystocia
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E. Shoulder dystocia

Quote:
One often described feature is the turtle sign, which involves the appearance and retraction of the fetal head (analogous to a turtle withdrawing into its shell), and the erythematous (red), puffy face indicative of facial flushing. This occurs when the baby's shoulder is obstructed by the maternal pelvis.
Quote:
McRoberts maneuver; The McRoberts maneuver is employed in case of shoulder dystocia during childbirth and involves hyperflexing the mother's legs tightly to her abdomen. This widens the pelvis, and flattens the spine in the lower back (lumbar spine). If this maneuver does not succeed, an assistant applies pressure on the lower abdomen (suprapubic pressure), and the delivered head is also gently pulled. The technique is effective in about 42% of cases
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Old 05-29-2012
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Quote:
Originally Posted by tyagee View Post
While attending her patient in the final stage of labor, an obstetrician-gynecologist observes that the infantís head appears to be compressed tightly against the vulva. The physician is unable to slide her finger between the vaginal wall and the infantís face. At this point, the physician is alarmed, calls all personnel to the delivery room, and instructs that the motherís legs be drawn to a hyperflexed position. What is the most likely diagnosis for this condition?

A. Failure to progress
B. Fetal anomaly
C. Fetal occiput posterior
D. Fetopelvic disproportion
E. Shoulder dystocia
it is C...
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  #8  
Old 05-30-2012
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Quote:
Originally Posted by tyagee View Post
While attending her patient in the final stage of labor, an obstetrician-gynecologist observes that the infantís head appears to be compressed tightly against the vulva. The physician is unable to slide her finger between the vaginal wall and the infantís face. At this point, the physician is alarmed, calls all personnel to the delivery room, and instructs that the motherís legs be drawn to a hyperflexed position. What is the most likely diagnosis for this condition?

A. Failure to progress
B. Fetal anomaly
C. Fetal occiput posterior
D. Fetopelvic disproportion
E. Shoulder dystocia

-it,s E.
objective clinical indication that occurs in a minority of shoulder dystocia deliveries is known as the turtle sign, where the fetal head, after it delivers, retracts against the perineum, as shown in the following image. (rarely ocuar)
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  #9  
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Quote:
Originally Posted by Novobiocin View Post
E. Shoulder dystocia
ya...ans is E and your expln is
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