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6 Cards in this Set
- Front
- Back
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incidence of transverse lie
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3/100 births
|
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Associated maternal factors with transverse lie
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multigravidae
relaxed abdominal muscles uterine/pelvic abnormality |
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associated fetal/placental factors with transverse lie
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placenta previa (20-25%)
multiple pregnancy pre-term labour polyhydramnios |
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complications associated with transverse lie
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prolapsed cord
prolapsed arm uterine rupture |
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Management of transverse lie
(antepartum) |
confirm and rule out placenta previa by ultrasound
discuss risks related to SROM (i.e cord prolapse) and be given instructions arrange consult ECVif transverse >39 wks followed by induction |
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Management of transverse lie (intrapartum)
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call for help
change position to left/right lateral or knee to chest no V/E if SROM (and no Placenta previa) V/E to rule out cord prolapse if cord proceed with mgmt for cord presentation |
