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MALPOSITIONS
&
MALPRENSTATION
JAVAID AHMAD MIR
PG. PSYCHAITRIC NURSING
FACULTY GNC BARAMULLA
LIE:- IT IS THE RELATION OF LONG AXIS OF
FETUS SPINE WITH THE LONG AXIS OF THE
UTERUS(MATERNAL SPINE).
a)LONGITUDINAL LIE
b)OBLIQUE LIE
c) TRANSVERSE LIE.
ATTITUDE:- IS THE RELATION OF FETAL HEAD &
LIMBS TO ITS TRUCK.
PRESENTATION:- IT IS THE PART OF
PRESENTATION THAT ENTERS THE BIRTH CANAL
FIRST.
DENOMEINATOR:-IT IS THE ARBITARY FIXED
POINT FOR ANY PRESENTING PART, WHICH
COMES IN RELATION TO DIFFERENT QUADRENTS
OF MATERNAL PELVIS.
MALPOSITION:-
WHEN THE RELATIONSHIP BETWEEN THE
DENOMINATOR (OCCIPUT) OF THE
PRESENTATION(VERTEX) & POINT ON THE
PELVIS IS OTHER THAN ILEOPECTINEAL
EMINENCE.
IN CASE OF VERTEX PRESETAION:
OCCIPITOPOSTERIOR POSITIONS:-
A) R.O.P
B) L.O.P
C) DIRECT OCCIPITOPOSTERIOR
IN CASE OF BREECH PRESENTATION:-
THE LIE IS LONGITUDINAL & THE PODALIC POLE
PRESENT AT THE PELVIC BRIM
IN CASE OF FACE PRESENTATION:-
THE DENOMINATOR IS THE MENTUM OF THE FETUS
IN CASE OF BROW PRESENTATION:- IN THE
BROW PRESENTATION THE FETAL HEAD IS
PARTIALLY EXTENDED..
TRANSVERSE LIE:-
WHEN THE LONG AXIS OF THE FETUS
PERPENDICULARLY TO THE MATERNAL SPINE.
POSTIONS MAY BE:-
a)DORSAL ANTERIOR
b)DORSAL POSTERIOR
c) DORSAL SUPERIOR
d)DORSAL INFERIOR.
IN CASE OF SHOULDER PRESENTATION
WHEN THE FETUS LIES WITH ITS LONG AXIS ACROSS THE
LONGAXIS OF THE UTERUS (TRANSVERSE LIE) THE SHOULDER
IS MOSTLIKELY TO PRESENT
IN CASE COMPOUND PRESENTATION
WHEN A HAND, OR OCCASIONALLY A FOOT, LIES
ALONGSIDE THE HEAD, THE PRESENTATION IS SAID TO
BE COMPOUND.
THANKS

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MAL POSITIONS & MAL PRSENTATIONS

  • 2. JAVAID AHMAD MIR PG. PSYCHAITRIC NURSING FACULTY GNC BARAMULLA
  • 3. LIE:- IT IS THE RELATION OF LONG AXIS OF FETUS SPINE WITH THE LONG AXIS OF THE UTERUS(MATERNAL SPINE). a)LONGITUDINAL LIE b)OBLIQUE LIE c) TRANSVERSE LIE. ATTITUDE:- IS THE RELATION OF FETAL HEAD & LIMBS TO ITS TRUCK. PRESENTATION:- IT IS THE PART OF PRESENTATION THAT ENTERS THE BIRTH CANAL FIRST. DENOMEINATOR:-IT IS THE ARBITARY FIXED POINT FOR ANY PRESENTING PART, WHICH COMES IN RELATION TO DIFFERENT QUADRENTS OF MATERNAL PELVIS.
  • 4.
  • 5.
  • 6. MALPOSITION:- WHEN THE RELATIONSHIP BETWEEN THE DENOMINATOR (OCCIPUT) OF THE PRESENTATION(VERTEX) & POINT ON THE PELVIS IS OTHER THAN ILEOPECTINEAL EMINENCE.
  • 7.
  • 8.
  • 9.
  • 10. IN CASE OF VERTEX PRESETAION: OCCIPITOPOSTERIOR POSITIONS:- A) R.O.P B) L.O.P C) DIRECT OCCIPITOPOSTERIOR
  • 11.
  • 12.
  • 13.
  • 14. IN CASE OF BREECH PRESENTATION:- THE LIE IS LONGITUDINAL & THE PODALIC POLE PRESENT AT THE PELVIC BRIM
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21. IN CASE OF FACE PRESENTATION:- THE DENOMINATOR IS THE MENTUM OF THE FETUS
  • 22.
  • 23.
  • 24.
  • 25.
  • 26. IN CASE OF BROW PRESENTATION:- IN THE BROW PRESENTATION THE FETAL HEAD IS PARTIALLY EXTENDED..
  • 27. TRANSVERSE LIE:- WHEN THE LONG AXIS OF THE FETUS PERPENDICULARLY TO THE MATERNAL SPINE. POSTIONS MAY BE:- a)DORSAL ANTERIOR b)DORSAL POSTERIOR c) DORSAL SUPERIOR d)DORSAL INFERIOR.
  • 28. IN CASE OF SHOULDER PRESENTATION WHEN THE FETUS LIES WITH ITS LONG AXIS ACROSS THE LONGAXIS OF THE UTERUS (TRANSVERSE LIE) THE SHOULDER IS MOSTLIKELY TO PRESENT
  • 29.
  • 30. IN CASE COMPOUND PRESENTATION WHEN A HAND, OR OCCASIONALLY A FOOT, LIES ALONGSIDE THE HEAD, THE PRESENTATION IS SAID TO BE COMPOUND.