Question

Case 12
A 28-year-old G4P3 at 40 weeks' gestation presents to labor and delivery in active
labor and ruptured membranes. Her antenatal course was complicated by diet-
controlled gestational diabetes. Her previous three pregnancies ended in vaginal
delivery at term with the largest infant weighing 4000 g. She is 150 cm tall and
weighs 100 kg. Fundal height was 42 cm, fetal heart tones were normal, and the
estimated fetal weight was 4250 g. The first stage of labor was uneventful, but
after just 10 minutes of the second stage, the fetal head delivered and promptly
retracted against the vulva (positive turtle sign). Normal traction by the operator
did not result in delivery of the anterior shoulder.
1. What is the most likely diagnosis?
2. List the most common risk factors for this pathology.
3. What are the steps to overcome this situation? What are the potential
complications for mother and baby in this situation?​

Answer 1

Answer:

20/12, 8:55 pm] kajal: Yee

[20/12, 8:55 pm] kajal: Usste koo naa I b

[20/12, 8:55 pm] kajal: Ibb

[20/12, 8:55 pm] Jaat Ji: Ha mare bdi didi bol

[20/12, 8:56 pm] Jaat Ji: Kya

[20/12, 8:56 pm] Jaat Ji: Didi

[20/12, 8:56 pm] Jaat Ji: Ji

[20/12, 8:56 pm] Jaat Ji: And kista

[20/12, 8:56 pm] kajal: Kriti te bhi karna accept usski req

[20/12, 8:56 pm] kajal: Meri

[20/12, 8:56 pm] Jaat Ji: Ma Nee kardee bobo uspa janor pa msg ib

[20/12, 8:56 pm] kajal: Dargi kya oo merte

[20/12, 8:56 pm] Jaat Ji: Hm

[20/12, 8:56 pm] kajal:

[20/12, 8:56 pm] Jaat Ji:

[20/12, 8:57 pm] kajal: Req bhi accept no kri

[20/12, 8:57 pm] kajal:

[20/12, 8:57 pm] Jaat Ji: na nu kha the va ki va soni Nee ha

[20/12, 8:57 pm] Jaat Ji:

[20/12, 8:57 pm] Jaat Ji: Jashan ta kha tha una

[20/12, 8:57 pm] Jaat Ji: Ya baat

[20/12, 8:57 pm] Jaat Ji: Far uski jsn ki uski gal

[20/12, 8:57 pm] Jaat Ji: Bj gee