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  • Mnemonic Vacum Forceps

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    KhoirulHu
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    This document provides guidance on important considerations when performing assisted vaginal deliveries using vacuum or forceps. It notes that the lowest reachable fetal part should be no lower than H.I or H.II. It emphasizes evaluating fetal wellbeing by determining DJJ any time the umbilical cord is palpated. It reminds to distinguish between extraction and assisted vaginal delivery, as DJJ evaluation is not needed for immediate delivery. Mnemonics should be followed for vacuum and forceps extractions. Fetal wellbeing must be evaluated at each step for external versions. Criteria must be met for repeat magnesium sulfate administration. Postpartum hemorrhage should prompt consideration of tone, tissue, tears, and thrombin.

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    Mnemonic Vacum Forceps

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    This document provides guidance on important considerations when performing assisted vaginal deliveries using vacuum or forceps. It notes that the lowest reachable fetal part should be no lower than H.I or H.II. It emphasizes evaluating fetal wellbeing by determining DJJ any time the umbilical cord is palpated. It reminds to distinguish between extraction and assisted vaginal delivery, as DJJ evaluation is not needed for immediate delivery. Mnemonics should be followed for vacuum and forceps extractions. Fetal wellbeing must be evaluated at each step for external versions. Criteria must be met for repeat magnesium sulfate administration. Postpartum hemorrhage should prompt consideration of tone, tissue, tears, and thrombin.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    948 views3 pages

    Mnemonic Vacum Forceps

    Uploaded by

    KhoirulHu
    This document provides guidance on important considerations when performing assisted vaginal deliveries using vacuum or forceps. It notes that the lowest reachable fetal part should be no lower than H.I or H.II. It emphasizes evaluating fetal wellbeing by determining DJJ any time the umbilical cord is palpated. It reminds to distinguish between extraction and assisted vaginal delivery, as DJJ evaluation is not needed for immediate delivery. Mnemonics should be followed for vacuum and forceps extractions. Fetal wellbeing must be evaluated at each step for external versions. Criteria must be met for repeat magnesium sulfate administration. Postpartum hemorrhage should prompt consideration of tone, tissue, tears, and thrombin.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
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    of 3

    Vacuum Mnemonic

    ANAESTHESIA
    ASSISTANCE

    - adequate pain relief


    - neonatal support

    BLADDER

    - bladder empty

    CERVIX

    - fully dilated, membranes ruptured

    DETERMINE

    - position, station and pelvic adequacy


    - think possible shoulder dyctocia

    EQUIPMENT

    - inspect vacuum cup, pump, tubing and check pressure

    FONTANELLE

    - position the cup over the posterior fontanelle


    - sweep finger around cup to clear maternal tissue

    GENTLE
    TRANCTION

    - 100 mm Hg initially and between contractions


    - pull with contractions only
    - as contraction begins :
    - increase pressure to 600 mm Hg
    - prompt mother for good explusive effort
    - tranctions in axis of birth canal

    HALT

    - no progress with three traction aided contractions


    - vacuum pops-off three times
    - no significant progress after 30 minutes of assisted vaginal
    delivery

    INCISION

    - consider episiotomy if laceration imminent

    JAW

    - remove vacuum when jaw is reachable or delivery assured

    Forceps Mnemonic
    A

    ANAESTHESIA
    ASSISTANCE

    - adequate pain relief


    - neonatal support

    BLADDER

    - bladder empty

    CERVIX

    - fully dilated, membranes ruptured

    DETERMINE

    - position, station and pelvic adequacy


    - think possible shoulder dyctocia

    EQUIPMENT

    FORCEPS

    - phantom application
    - left blade, left hand, maternal left side, pencil grip and vertical
    insertion, with rigth thumb directing blade
    - rigth blade, rigth hand, maternal right side, pencil grip and vertical
    insertion with left thumb directing blade
    - lock blade and support check application
    - posterior fontanelle 1 cm above plane of shanks
    - fenestration no > fingerbreadth between it and scalp
    - sagittal suture perpendicular to plane or shanks with occipital
    sutures 1 cm above respective blades

    GENTLE
    TRANCTION

    - applied with contraction/expulsive effort

    HANDLE
    ELEVATED

    - traction in axis of birth canal


    - do not elevate handle too early

    INCISION

    - consider episiotomy

    JAW

    - remove forceps when jaw is reachable or delivery assured

    HAL - HAL YANG PERLU DIPERHATIKAN


    1. Batas bagian terendah yang bisa didorong ke atas adalah H.I & H.II
    2. Pada kasus apapun, bila TERABA TALI PUSAT tanyakan DJJ nya
    3. Bedakan antara VERSI EXTRAKSI dan EXTRAKSI dan pada kedua
    tindakan ini tidak diperlukan evaluasi DJJ oleh karena bayi langsung
    dilahirkan saat itu.
    4. Pada kasus Forceps & Vacum Extraksi
    MNEMONIC nya

    jangan lupa

    5. Pada tindakan VERSI LUAR perlu evaluasi DJJ pada setiap


    langkahnya.
    6. Syarat pemberian Sulfas Magnesicus ( 4 Syarat ), hanya diberikan pada
    pemberian S.M ulangan.
    7. Setiap ada PERDARAHAN PASCA PERSALINAN selalu ingat 4 T :
    a. TONUS
    b. TISSUE
    c. TEAR
    d. TROMBIN
    8. Setiap tindakan Obstetri, ingat INDIKASI & KONTRA INDIKASI

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