Mechanism of Labor (Demonstration with Pelvis and Skull)
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- Опубликовано: 6 сен 2024
- Mechanism of Labor (Demonstration with Pelvis and Skull)
- Dr.Raina Chawla
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43:58 cardinal movements of Labor
Thank you
Maternal pelvis:
Inlet- transverse oval.
Anterior abd wall, sacral promontory, hip bones.
Transverse d,
Oblique d,
Conjugate/AP d (true/anatomical, obstetric, diagonal)
Cavity-
Plane of greatest pelvic dimensions,
Plane of least pelvic dimensions (deep transverse arrest).
Outlet- Vertical/AP oval, diamond shaped.
Pubis symphysis, ischial tuberosities, sacral promontory.
Transverse d,
AP d.
Fetal skull:
Sutures-
Frontal,
Coronal,
Sagittal,
Lambdoid.
Fontanelles-
Anterior/bregma (membranous, fuses month after birth)
Posterior/lambda.
What does it mean when on PV examination we can feel-
the anterior fontanelle?
the posterior fontanelle?
(deflexed head, usually OP positions)
(well flexed head)
Face
Sinciput/Frontum- anterior fontanelle to glabella.
Occiput- posterior prominent part of the head.
Vertex- ant & post fontanelle + parietal eminences.
Diameters:
Transverse: engaging d, fixed.
Best- BPD- 9.5cm, largest.
AP d: presenting d, changing.
Best- SOB- 9.5cm, well flexed head.
(HEAD TO CHEST, CRYING= SOBbing)
Others-
OF or SOF- 11 to 11.5cm, deflexed head, military attitude.
(LOOKING STRAIGHT, OFfice)
MV d- 14cm, partially extended head, no mechanism of delivery.
SMB d- 9.5cm, fukly extended head.
9.5cm d of fetal skull? (3)
Adv of fully flexed head over fully extended head?
(Moulding)
Best video on mechanism of labour. Really loved it.
Best Lecture ever on this topic... I loved it.
Pelvic assessment:
Prominence of sacral promontory.
Curve of the sacrum.
2 fingers, pelvic side walls, comverging or not
Prominence of ischial spines.
2 fingers, subpubic angle.
4 knuckles, intertrochanteric distance.
Thanks so much ma'am. I understand completely well now
Really mam ur amaizing 😍😍
Thank you very much ma'am! You made it so easy
Thank you🙌
Thank you so much ma'am ❤
44:10
Thank you so much❤
Thank you so much.
Plz keep uploading. It helps a lot
Thanks mam
❤❤❤❤ keep uploading 🎉
Best
Plzz 🙏 make video on pop q demonstration
14:00
34:30
Definitions:
Lie
Presentation
Presenting part
Attitude
Denominator
Position
Table at 43:00
Thank you 😮