16. IN FETUS:
Fetal asphyxia.
Intracranial haemorrhage.
Pneumonia due to ascending infection.
• Fetal death.
Neonatal sepsis.
Facial injury.
Convulsions/fits.
17. • palpation: uterus is tender liquour all
drained fetal parts difficult to palpate. fetal
heart sounds absent ( difficult to auscultate /
abnormalities in fetal heart sounds)
• Per Vagina Examinations. edematous vulva.
dry hot vaginal mucosa. cervix poorly applied to
presenting part cervix loosely hanging /partially
dilated meconium draining caput on
presenting part moulding. if uterus has
ruptured fetal parts will be palpable in peritoneal
cavity and uterus is felt as separate firm mass.
18. • INVESTIGATIONS.
A.EARLY INVESTIGATIONS. At antenatal visits. 1.Obstretic
ultrasound. To detects any fetus and pelvic organs
assessment,it also used to check the positions of the
fetus in relation to maternal pelvis.
2.CT-Scan. Adequately used to detects the presences of
bony landmarks hence possible determinations of
pelvic diameters.
3.MRI. fetal MRI which provides multiplanar views, better
characterization of anatomic details of, for example,
the fetal brain, and information for planning the mode
of delivery and airway management at birth.
