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operative (cae, vac, for) instrumental (vac, for) (forceps (YES smaller…
operative (cae, vac, for) instrumental (vac, for)
prerequisite (hx, pe)
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(fully dialted) (head x palpable: 0/5, 1/5) (station 0 or below) (know position of head) (ruptured membrane)
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indication (hx, pe)
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maternal
(neurological e.g. myasthenia gravis) (maternal exhaustion) (avoid maternal exhaustion: HT/PET, heart failure class III class IV, liver cirrhosis with esophageal varices)
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contraindication (hx, pe)
maternal infection (HCV, HIV, pirmary active genital herpes)
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VACUUM
(indication, contraindication, prerequisite) (consent) (local anaesthesia) (cathetarize bladder) (episiotomy)
(connect OA/OP cup to suction machine) (flexion point: 3 cm anterior to posterior fontanelle) (no maternal tissue trapped)
(apply negative pressure to 60 cmHg) (pull when uterine contraction) (max 5 save some for senior) DELIVERED (cord arterial blood gas) (documentation) (debriefing)
(vacuum) complications
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MOM genital tract injury (cervical laceration, perineal tear, anal sphincter)
cephalohematoma, subgaleal hemorrhage, intracranial heomrrhage
(forcep) complications
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MOM genital tract injury (cervical laceration, perineal tear, anal sphincter)
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