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Gynaecology & Obstetrics General 908238a1

During application of the cup in Ventouse, 'knob' of the cup points towards: March 2013

A
Brow
B
Chin
C
Neck
D
Occiput
High-Yield Explanation
Ans. D i.e. Occiput Ventouse Indications As an alternative to forceps operation. Deep transverse arrest with adequate pelvis Delay in descent of head of the second baby of twins Delay in first stage due to uterine ineia or primary cervical dystocia Contraindications Prematurity Head not engaged Fetal distress Pelvic contraction Transverse lie After coming head of breech Paially dilated cervix Congenital anomalies Dead fetus. Complications Cephalhematoma Subaponeurotic or subgaleal haemorrhage Chignon Retinal hemorrhage

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