Version

version

Q. 1

Indication of internal podalic version is?

 A Transverse lie
 B

Transverse lie of second twin

 C Breech
 D

Polyhydramnios

Q. 1

Indication of internal podalic version is?

 A Transverse lie
 B

Transverse lie of second twin

 C Breech
 D

Polyhydramnios

Ans. B

Explanation:

Transverse lie of second twin

REF: Dutta 6th ed p. 388

The only indication of internal cephalic version is transverse lie in the second twin


Q. 2

Following are contraindication to External Cephalic Version except :

 A

Contracted pelvis

 B

Antepartum hemorrhage

 C

Multiple pregnancy

 D

Hydramnios

Q. 2

Following are contraindication to External Cephalic Version except :

 A

Contracted pelvis

 B

Antepartum hemorrhage

 C

Multiple pregnancy

 D

Hydramnios

Ans. D

Explanation:

Hydramnios


Q. 3

The danger of internal podalic version in obstructed labour is :

 A

Perineal tear

 B

Cervical tear

 C

Rupture of lower uterine segment

 D

Rupture of upper uterine segment

Q. 3

The danger of internal podalic version in obstructed labour is :

 A

Perineal tear

 B

Cervical tear

 C

Rupture of lower uterine segment

 D

Rupture of upper uterine segment

Ans. C

Explanation:

Rupture of lower uterine segment


Q. 4

Internal podalic version is done under…… anaesthesia :

 A

Pudendal block

 B

IV calmpose

 C

Spinal

 D

General

Q. 4

Internal podalic version is done under…… anaesthesia :

 A

Pudendal block

 B

IV calmpose

 C

Spinal

 D

General

Ans. D

Explanation:

General


Q. 5

Incorrect about external cephalic version is :

 A

Done at 34 week

 B

Abruption of placenta is a complication

 C

Done under general anesthesia

 D

All

Q. 5

Incorrect about external cephalic version is :

 A

Done at 34 week

 B

Abruption of placenta is a complication

 C

Done under general anesthesia

 D

All

Ans. D

Explanation:

All


Q. 6

Only indication for internal version nowadays is:

 A

Brow presentation

 B

Face presentation

 C

Second fetus of twins

 D

Breech

Q. 6

Only indication for internal version nowadays is:

 A

Brow presentation

 B

Face presentation

 C

Second fetus of twins

 D

Breech

Ans. C

Explanation:

Second fetus of twins


Q. 7

External cephalic version is contraindicated in all except:

 A

Breech

 B

Twins

 C

Placenta previa

 D

Previous

Q. 7

External cephalic version is contraindicated in all except:

 A

Breech

 B

Twins

 C

Placenta previa

 D

Previous

Ans. A

Explanation:

Breech


Q. 8

The complication that can occur with internal po­dalic version for transverse lie is :

 A

Uterine rupture

 B

Uterine atony

 C

Cervical laceration

 D

Vaginal laceration

Q. 8

The complication that can occur with internal po­dalic version for transverse lie is :

 A

Uterine rupture

 B

Uterine atony

 C

Cervical laceration

 D

Vaginal laceration

Ans. A

Explanation:

Ans. is a i.e. Uterine rupture

Internal Podalic Version is done in case of transverse lie / oblique lie after deeply anaesthetizing the patient, by introducing the hand in uterine cavity and turning the fetus manually so that it becomes breech presentation. The only indication of ;ntemal podalic version in modern day obstetrics is delivery of second twin. This procedure has been abandoned because of the high incidence of uterine rupture associated with it.

Hazards of Internal Podal°

Maternal risk

Placental abruption Rupture of the uterus Increased morbidity

Fetal risk

Asphyxia

Cord prolapse

Intracranial haemorrage, fetal trauma (and hazards of breech delivery)


Q. 9

External cephalic version (ECV) is CONTRAINDICATED in:    

September 2012

 A

Primigravida

 B

Flexed breech

 C

Anemia

 D

PIH

Q. 9

External cephalic version (ECV) is CONTRAINDICATED in:    

September 2012

 A

Primigravida

 B

Flexed breech

 C

Anemia

 D

PIH

Ans. D

Explanation:

Ans. D i.e. PIH

External version

  • Conversion is done by External manipulation only
  • Done for Breech presentation and Transverse lie.

Internal version

  • Done in Transverse lie in case of second baby of twins.
  • Conversion is done by one hand introduced into the uterus and the other on the abdomen

Q. 10

A full-term multigravida is having breech presentation. Ideal management in this case would be:

September 2006

 A

Elective caesarean section

 B

External cephalic version followed by vaginal delivery

 C

Trial of labour

 D

External cephalic version followed caesarean section

Q. 10

A full-term multigravida is having breech presentation. Ideal management in this case would be:

September 2006

 A

Elective caesarean section

 B

External cephalic version followed by vaginal delivery

 C

Trial of labour

 D

External cephalic version followed caesarean section

Ans. B

Explanation:

Ans. B: External cephalic version followed by vaginal delivery

Indications for Elective caesarean section in breech presentation:

  • Estimated fetal weight more than 3.5 kg
  • Hyperextended head
  • Footling presentation
  • Associated complications
  • Pelvic inadequacy

Otherwise try external cephalic version and trial of vaginal breech delivery.


Q. 11

Ideal management of 37 weeks uncomplicated breech pregnancy is:                                          

March 2010

 A

Spontaneous vaginal delivery

 B

Elective caesarean section

 C

External cephalic version and trial of vaginal delivery

 D

None

Q. 11

Ideal management of 37 weeks uncomplicated breech pregnancy is:                                          

March 2010

 A

Spontaneous vaginal delivery

 B

Elective caesarean section

 C

External cephalic version and trial of vaginal delivery

 D

None

Ans. C

Explanation:

Ans. C: External cephalic version and trial of vaginal delivery

Indications for Elective caesarean section in breech presentation:

  • Estimated fetal weight more than 3.5 kg
  • Hyperextended head
  • Footling presentation
  • Associated complications
  • Pelvic inadequacy


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