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MRCOG PART 2 SBAs and EMQs

Course PAID
notes334
EMQ1480
SBA2068
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oxytocin before ARM?

oxytocin before ARM? Posted by H P.
for Questions 7-8

A No additional intervention at this stage B Deliver by caesarean section
C Evacuation of retained products of conception D Artificial rupture of membranes
E Commence iv oxytocin regimen F Venous access and resuscitation
G Controlled artificial rupture of membranes in theatre H Intra-muscular analgesia
I Prostaglandin induction of labour J Manual replacement of the uterus
K Sub-cutaneous terbutalline L Delay induction of labour

Instructions: For each of the case histories described below, choose the single most appropriate management from the above list. Each option may be used once, more than once, or not at all.

Question 8 A 34 year old woman with four previous vaginal deliveries has been admitted for induction of labour at 40 weeks gestation because she has a history of precipitate labours with her last baby being delivered in the car. The fetal head is five fifths palpable and the cervix is 2cm long, soft and posterior with a multiparous os. The presenting part is not reached on vaginal examination. Your answer: I

Correct answer: E


the explanation given is to commence iv oxytocin and THEN do controlled ARM-- is it OK to start oxytocin with INTACT membranes??
Posted by S M.
y
risk of AFE Posted by Stanley T.

is there a risk of amniotic fluid embolism if oxytocin started before ARM .