MHP
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a 30 year old women gravida 2 para 1 is brought to the emergency department in labour , an episiotomy is performed folowing delivery of head, shoulders do not follow with usual traction and maternal pushing , which of the folowwing is the most appropriate in the next step in management
a)FLEXING the womens knee towards shoulders
b)more forceful traction and fundal pressure
c)delivering the posterior arm
d)rotating the head 180 degrees
e)symphysiotomy
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| robin082006
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D
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| Mahwish Mushtaq
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it's A
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| MHP
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Why is A?
can you explain?
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| Guptashutosh
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ans is C deliver the posterios arm
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| drashishmahajan
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A---
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| CocaCola
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First step should be
A - flexing the woman's knee towards shoulder
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| MHP
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First: Suprapubic Pression
2nd: Maternal thigh flexion (Mc Roberts maneuver)
3rd: Internal Rotation of the fetal shoulders to the oblique plaen (Woods maneuver)
4th: Manual delivery of the posterior arm
5th: Cephalic replacemnt (Zavanelli maneuver)
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| robin082006
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This is NBME q, no one can be sure about the answer.
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| MHP
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This is true Robin but i found this in Kaplan Notes. I hope help!
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| young_doc
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MHP please write down that it's an NBME Question in the subject when you post questions...
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