Muhamad Na'im B Ab Razak (jacknaim) is a fresh graduate Muslim Doctor from Universiti Sains Malaysia and waiting for the enrollment into the housemanship program. Ambitious in pursuing master program in emergency and traumatology medicine and loves to spent his free time joining humanitarian missions, writing and speaks as an amateur public speaker in motivation and comparative religion. [HOME]

OSCE pro III series 4


Answers



1)Ventouse extractor (soft cup)


2)Indication

a)Delay in second stage.
b)Fetal distress in second stage.
c)Maternal condition requiring a short second stage. (hypertension, heart disease, past history of cerebral haemorrhage)


3)Pre requisite

a)Cervix full dilate
b)Head full engage
c)Cooperation of the patient
d)Good contraction should be present


4)Complication

a)Fetus
-Fetal Chignon
-Cephalohaematoma
-Intracranial haemorrhage
-Scalp necrosis(if >15 min)

b)Mother
-Trauma to genital tract
-Injury to the cervix

Contraindication
a)Face presentation.
b)Gestation less than 34 weeks.
c)Marked active bleeding from a fetal blood sampling.