Managing Complications in Pregnancy and Childbirth: - IAWG

Labour with an overdistended uterusS-91- Gently rotate the baby down;- Proceed with breech extraction (page P-42).• Check fetal heart rate between contractions;• If external version fails and internal podalic version is notadvisable or fails, deliver by caesarean section (page P-43).• Give oxytocin 10 units IM or give ergometrine 0.2 mg IM within 1minute after delivery of the last baby and continue activemanagement of the third stage to reduce postpartum blood loss(page C-73).COMPLICATIONS• Maternal complications of multiple pregnancy include:- anaemia;- abortion;- pregnancy-induced hypertension and pre-eclampsia;- excess amniotic fluid;- poor contractions during labour;- retained placenta;- postpartum haemorrhage.• Placental/fetal complications include:- placenta praevia;- abruptio placentae;- placental insufficiency;- preterm delivery;- low birth weight;- malpresentations;- cord prolapse;- congenital anomalies.