1. Feeling of both fetal ears - success is almost 100%. feeling of both fetal ears indicates fetal head is sufficiently low. At the same time if one can't feel both fetal ears, it indicates that actually the fetal head is higher than you think. Therefore reconsider the decision to deliver by instrumental.
when you feel the fetal ear, the occiput is just there. In other owrds if you fell the fetal air nar the pubis, then it is OA and ears around the perineum being OP
2. Feeling of one fetal ear, success is about 80%
3. Easy space between the fetal head and side of the pelvis.
4.Nice lubrication of fetal head with amniotic fluid.
5. Perineal bulge.
6. Situation where you cannot feel fetal ears to identify the position is where the mother is in labour for a long time and there is deep coning of head and presence of caput
6. Filling of perineum on both sides with pushing.
7. Anal opening with pushing.
8. Seeing fetal head with pushing without separating the labia.
9. The longer the duration between rupture of membranes and attempt to instrumental delivery, the higher the failure rate.
10. Presence of caput and moulding and hence obscuring to define the fetal position.
11.
Creating Sympohony Band Wagon atompshere, i.e, making sure that she is effectively contracting and are regular, effectively pushing, if not starting synto and training her to effective pushing and observing descent with pushing and seeing how many finger creases it descends.
No comments:
Post a Comment