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Medical Science Optional daily answer writing practice for CSE 2024 – Feb 14

Topic: Labour management, complications of 3rd stage

Question:“Write shortly on a)Cardiovascular changes that mimic heart disease in pregnancy b) Complications of assisted breech delivery “

Click here for Reference Material-This material is informational alone and is not specifically prepared as an answer for any question. Readers may do their own research before finalising diagnoses according to the characteristics unique to each question. Readers should not proceed without cross-referencing with relevant textbooks as well as standard guidelines available.

Cardiovascular Changes that Mimic Heart Disease in Pregnancy:

  1. Increased Blood Volume: Physiological adaptation to meet the metabolic demands of the mother and fetus.
  2. Elevated Cardiac Output: Accommodates the increased demands for oxygen and nutrients.
  3. Higher Heart Rate: Normal response to the increased circulatory needs during pregnancy.
  4. Hormonal Vasodilation: Influence of hormones leading to blood vessel dilatation.
  5. Symptoms Mimicking Heart Disease: Palpitations, shortness of breath, and chest discomfort can be attributed to the increased cardiac workload and hormonal fluctuations.
  6. Differential Diagnosis: Healthcare providers must distinguish between normal pregnancy-related changes and signs of pathological heart conditions through thorough assessments.

Complications of Assisted Breech Delivery:

  1. Head Entrapment: Challenge in maneuvering the baby’s head through the birth canal after the body is delivered.
  2. Birth Trauma: Increased risk due to the use of forceps or vacuum extraction, leading to bruises, lacerations, and facial injuries to the newborn.
  3. Cord Prolapse: Higher risk compared to other delivery methods, potentially causing umbilical cord compression and compromising fetal blood flow.
  4. Neonatal Complications: Elevated risk of respiratory distress syndrome and neurological issues due to abrupt pressure changes during delivery.
  5. Maternal Trauma: Increased likelihood of perineal tears or injuries compared to alternative delivery methods.
  6. Individualized Assessment: Decisions regarding assisted breech delivery should be based on an individualized assessment of the risks and benefits, considering maternal and fetal factors.
  7. Consideration of Cesarean Section: In some cases, a cesarean section may be recommended to mitigate potential complications associated with breech presentations, aligning with evidence-based obstetric practices.

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