Page 247 - Critical Maternity & Newborn Health Nursing

anterior buttock appears below the symphysis pubis and by lateral

flexion of the buttock is then delivered.

2- Delivery of the shoulders

The bitrochantric diameter (12cm) descends in one oblique

diameter as the breech. The anterior shoulder meets the pelvic floor

and rotates forwards 1\8 of a circle. The anterior shoulder appears

below the symphysis pubis and the posterior shoulder delivered by

lateral flexion of the supine followed by the anterior shoulder

3-Delivery of the aftercoming head

The descends in the opposite oblique diameter of the pelvis.

The occiput meets the pelvic floor and rotates forwards 1\8 of a

circle in sacro-anterior position. And 3\8 of a circle in sacro-

posterior position. with further descend the sub-occipital region

appears below the symphysis pubis and the head is then delivered

by flexion.

Management:

During labor:

Delivery must be in hospital vaginal delivery is allowed. unless
there is indication for c-section

First stage:

The same as normal labor however, the patient is kept in the bed.

No walking is allowed to avoid premature rupture of membranes

and prolapse of the cord.

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