FREE AIIMS MCQ on 09 Oct 2016

AIIMS
Find More About This Course Here ATTEMPT MOCK TEST (JIPMER GRAND FINAL 2)TODAY BEFORE END TIME

 DAILY FREE MCQ CHALLENGE for Medical PG Preparation

Question
All of the following complications are more common in ventouse assisted delivery than forceps, Except:

A. Transient lateral rectus palsy
B. Intracranial hemorrhage
C. Cephalhematoma
D. Subgaleal hemorrhage

TIPSImportant Question from AIIMS 2013

Answer: A. Transient lateral rectus palsy

Explanation :

Transient lateral rectus palsy is more common in forceps assisted delivery.Intracranial hemorrhage, cephalohematoma and subgaleal hemorrhage are more common in ventouse assisted delivery.

 

ADVANTAGES OF VENTOUSE OVER FORCEPS

ADVANTAGES OF FORCEPS OVER VENTOUSE

It can be used in unrotated or malrotated head (OP, OT position). It helps in autorotation In Cases,where moderate traction is required,forceps will be more effective compared to ventouse
It is not a space occupying device like the forceps blades Forceps operation can quickly expedite the delivery in case of fetal distress where ventouse will be unsuitable as it takes longer time
Traction force is less (10 kg) compared to forceps It is safer in premature baby.The fetal head remains inside the protective cage
It is comfortable and has lower rates of maternal trauma and genital tract lacerations It can be employed in anterior face or in after-coming head of breech presentation, where ventouse is contraindicated
Analgesia need is less. Pudendal block with perineal infiltration is adequate but for forceps regional or general anesthesia is often needed Lesser neonatal scalp trauma,retinal hemorrhage,jaundice or cephalhematoma compared to ventouse
Reduced maternal pelvic floor injuries and is advocated as the instrument of first choice. Higher rate of successful vaginal delivery as ventouse has got higher failure rates than forceps
Perineal injury (3rd and 4th degree tears) are less compared to forceps Cup Detachment (“Pop-off”) occurs when the vacuum is not maintained in ventouse. No such problems once forceps blades are correctly applied
Postpartum maternal discomfort (pain) are less compared to forceps Number of types of forceps (p. 572) are available for outlet, mid cavity or rotational delivery. Traction force is more (about 20kg for a primary and about 13 kg in a multi)
Easier to learn comparing to forceps

Simplicity of use in delivery makes it convenient to the operator (suitable for trained midwives)

 

 

Reference: D.C.Dutta’s Textbook of Obstetrics 7th Ed, Page 581.


Todays Facebook Winner is Coming Soon.., receiving a FREE Mock Test from GateToMedicine. You need to send us your email id to customercare@gatetomedicine.com or you can Whats app to 9633760602
Congratulations!
Call our friendly team now! Call our friendly team now!
 Call 0487-6999902 or whatsapp2 9633-760-602 to have a friendly discussion of your medical PG study requirements.