Friday 27 October 2017

Conditions contraindicated for vacuum extractions | NEET Based MCQ


Conditions which are relatively contraindicated for vacuum extractions are all; except:

A. Face presentation 
B. Extreme prematurity
C. Fetal coagulopathies
D. None of the above

Ans. D. Vacuum extraction (vantouse) has the theorectical advantages over forceps. Which includes avoidance of insertion of space occupying steel blades within the vagina, the ability to otate the fetal head without impinging upon maternal soft tissues and less intracranial pressure duting traction. Thje indications and prerequisite for use of vacuum extrations are same as for forceps delivery. The relative contraindication are (1) face or other nonvertex presentation (2) extreme premautrity (3) fetal coagulopthies (4) known macrosomia (5) following recent scalp blood sampling.