Malpresentation (cont.)
Asmaa kadhim
2020
12*12 cm and should therefore the 13 cm brow will not usually be able to
pass the midpelvis
Abnormal lie
• Transverse , oblique. And. Unstable lie
• Causes
• As mentioned above for malpresentation
• Diagnosis
• Abdominal exam small for date uterus , head mobile and felt on one
side , no presenting part on pelvic grip
Vaginal exam Scapula , ribs may be felt ,or no presenting part
• Management
• Antepartum Conservative if preterm for spontaneous version
• ECV at term
• For unstable lie ECV and stabilized induction at term
• Intrapartum. Early labour and intact membrane . ECV
• Ruptured membrane or advanced labour ---- CS
(CLASSICAL )
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