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Gynaecology & Obstetrics Malpresentation dd442799

Best method to deliver arms in breech:

A
Lovset's method
B
Smellie-Veit
C
Pinard's maneuver
D
Any of the above
High-Yield Explanation
Ans. is a, i.e. Lovset's methodRef. Dutta Obs. 9/e, p 359Assisted Breech Delivery:In breech delivery assistance may be required for:i. Delivery of head-Burns-Marshall methodQ-Mauriceau-Smellie-Veit methodQ-Piper's forcepsQ or Neville-Barnes forcepsii. Extended legs-Pinard's maneuverQ(Remember: P for popliteal fossa and P for Pinard maneuver)iii. Extended arm-Lovset's maneuverQSometimes the head rotates posteriorly so, that the face is behind the pubis. Delivery in this position is difficult and 'Prague maneuver' may be tried.Also Know:Best time for episiotomy in breech - Climbing of perineum.Best time for episiotomy in vertex - Crowning of head.

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