16. Alert line ( health facility line )
• The alert line drawn from 3 cm dilatation
represents the rate of dilatation of 1 cm /
hour
• Moving to the right or the alert line means
referral to hospital for extra care
17. Action line ( hospital line )
• The action line is drawn 4 hour to the right of
the alert line and parallel to it
• This is the critical line at which specific
management decisions must be made at the
hospital
24. • What is the name of this maneuver ?What is
the indications?
• Briefly describe how it act?
• Give name of other 2 maneuver to solve this
problem
Slide 6
43. • What is the station of fetal head in this photo?
• How to detect fetal station by PV?
• What is the importance of
• ischial spine level?
Slide 12
44. Ischial spin level station 0
• Above this level 1 ,2,3 cm
• Station -1,-2,
• -3(head abdominal (floating)
• Below this level 1,2,3 cm
• Station +1,+2,
• +3(head on perineum
46. • What is the name of this maneuver?
• What is the indication ?
• What is the prerequisite?
• Name 2 complication
Slide 13
47. Internal podalic version
To do or not to do ??To do or not to do ??
Experienced operatorExperienced operator
EFW > 1500 gmEFW > 1500 gm
Adequate liquorAdequate liquor
Available anesthesia forAvailable anesthesia for
effective uterine relaxationeffective uterine relaxation
Simultaneous preparationSimultaneous preparation
for emergency C/Sfor emergency C/S
53. • What is the name of this graph ?what is the
indication?
• Describe briefly mangment in zone 2,zone3
• Give 2 other diagnostic test for this condition
Slide16
85. • What is the placental anomaly shown In this
photo?
• What is the possible complications of this
condition ?How to diagnose it antenatally?
Slide28
88. • What is the placental anomaly shown In this
photo?
• What is the possible complications of this
condition ?How to diagnose it antenatally?
Slide29
Amniotic hook/amniotic membrane perforater
Amniotomy (artificial rupture of membrane)
Fetal: Cord prolapse, intrauterine fetal infection, conversion of unstable lie to tranverse obstructed lie with prolapse of arm.
Maternal: Trauma to genital tract n LS of uterus, maternal infection, abruptio placenta (if sudden rupture in polyhydramnion),
Amniotic hook/amniotic membrane perforater
Amniotomy (artificial rupture of membrane)
Fetal: Cord prolapse, intrauterine fetal infection, conversion of unstable lie to tranverse obstructed lie with prolapse of arm.
Maternal: Trauma to genital tract n LS of uterus, maternal infection, abruptio placenta (if sudden rupture in polyhydramnion),
Amniotic hook/amniotic membrane perforater
Amniotomy (artificial rupture of membrane)
Fetal: Cord prolapse, intrauterine fetal infection, conversion of unstable lie to tranverse obstructed lie with prolapse of arm.
Maternal: Trauma to genital tract n LS of uterus, maternal infection, abruptio placenta (if sudden rupture in polyhydramnion),
Amniotic hook/amniotic membrane perforater
Amniotomy (artificial rupture of membrane)
Fetal: Cord prolapse, intrauterine fetal infection, conversion of unstable lie to tranverse obstructed lie with prolapse of arm.
Maternal: Trauma to genital tract n LS of uterus, maternal infection, abruptio placenta (if sudden rupture in polyhydramnion),