Obstetric and Gynecological Nursing - The Carter Center

Managements of closed cervix
Stimulate the contraction put the baby on the breast. If the lie
is longitudinal the doctor will rupture the membranes and give
an oxytocic drug. When the uterus begins to contracts he may
apply forceps. If there appears obstructed caesarean section
may be necessary.
5. Transverse lie of the second twin
If the lie is transverse call the doctor and he/she attempts
external version between contraction if the membranes are
intact. Also after internal version may be a breech extraction
may be done with intact membrane.
6. Premature expulsion of the placenta or bleeding before
the birth of the second twin results in hypoxia of the unborn
twin.
Management - Massage the uterus and expel the 2 nd twin by
fundal pressure
7. Post parrtum haemorrhage
8. Premature rupture of the membrane
9. Prolapse of the cord
10. Prolonged labour - malpresentation, poor uterine action
2. Locked Twins
In the second stage of labour the after coming head of the first
twin may be prevented from descending into the pelvis by the
head of the second twin.
Occurs in case of :-
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