MECHANISMOFLABOUR(NORMALandABNORMAL).pptVIP

Q.1-Commonest presentation during labor is 1-left occiput anterior position (LOA) 2-right occiput anterior (ROA) 3-occiput transverse (OT) 4-left occiput posterior (LOP) Q.2- about breach presentation which is correct 1-beech presentation is the more common in primeparous 2-incomlete breach can’t be delivered vaginally 3-breach presentation can’t be diagnosed clinically 4-all breach presentation should be delivered by C/S Q.3-during labor 1-engagment occur when BPD reach the pelvic outlet 2-engagment always occur before onset of labor in prime. 3-if internal rotation to SP is 135 degree it will be OP 4-if the head is flexed it will be face presentation Thank you * * * * * * * * * * MECHANISM OF LABOUR Lateefa Al Dakhyel FRCSC, FACOG Assistant professor consultant Obstetric gynecology department Collage of medicine King Saud University Lie, presentation, attitude, position FETAL LIE The relation of the long axis of the fetus to that of the mother 1-Longitudinal lie -99% of labors at term 2-transverse lie ? multiparty, placenta previa, hydramnious, uterine anomalies 3-oblique lie -maternal fetal axes cross @ 45 angle -most unstable become longitudinal Or transverse at labor. ATTITUDE or posture. In later months posture of the fetus ?folded on itself to accommodate the shape of the uterus (flexed head, thighs, knees feet ,the arms crossed over the chest) Change from this flexed attitude can cause abnormal presentations . I ! 1\ 11 A B ii F c D (A) vertex (B) sinciput (C) brow (D) face Fetal position The relation of a chosen point of the fetal presenting part to the Rt or Lt side of the maternal birth canal The chosen point Vertex presentation ? occiput Face presentation ? mentum Breech presentation ?Sacrum Each presentation has two positions Rt or Lt Each position has 3 varieties : Ant, transverse, post OA OP LOT ROT LOA ROA LOP ROP Lie, presentation, attitude, position CEPHALIC PRESENTATION Head is flexed sharply ?