Treatment of deep transverse arrest is
Ans. a (LSCS). (Ref. Williams, Obstetrics, 21st ed., 301)Deep transverse arrest (DTA)# Occipitotransverse (OT) head position frequently results in a deep transverse arrest and resultant cephalopelvic disproportion.# DTA occurs in the second stage of labor where the fetus maintains an OT position at a low pelvic station.# In most cases, this requires rotation of the fetal head to OA or OP to allow vaginal delivery, but occasionally, patients with a platypelloid pelvis will spontaneously deliver a baby with a transverse head.# The options open to the modem obstetrician faced with a deep transverse arrest in an OT position include:- Digital or manual rotation- Rotation with traction using a vacuum extractor- Rotation with forceps- Cesarean section# Unless the operator has had sufficient training and experience with rotational delivery using forceps, cesarean section is frequently the most prudent choice.
LSCS
Induction of labour
Trial of labour
Craniotomy
Miscellaneous (Gynae)