Midwifery Rank-Booster Day
Hey, future AIIMS Nursing Officers! Day 191 at logyanlo.in is your ultimate Midwifery and Obstetrical Nursing masterclass for AIIMS NORCET 2025, RRB Staff Nurse, JIPMER, SGPGI & DSSSB. We're diving deep into the most repeated topics: Labor Monitoring (Partogram vs WHO Labor Care Guide), Antepartum Hemorrhage, Placenta Previa vs Abruptio Placentae, Placenta Accreta Spectrum, Leopold Maneuvers, Fetal Skull Diameters, Breech Maneuvers, Episiotomy, and Common Instruments. These appear in every shift – master them and lock 20+ marks! Let’s dominate 2025!
Core Concepts That Guarantee Marks in Midwifery
Midwifery and obstetrical nursing = guaranteed high weightage:
- 15–25 % questions in AIIMS NORCET & RRB exams
- Partogram/LCG, APH comparisons & Leopold maneuvers are favourite diagram-based questions
- Breech delivery & episiotomy appear in both theory + image-based sections
- Placenta accreta & fetal skull diameters are repeated every year
logyanlo.in gives you only the high-yield, rank-making points with detailed explanations!
High-Yield Topics for Your Exam Success
Labor Monitoring: Partogram vs WHO Labor Care Guide
Quick Fact
WHO Labor Care Guide (LCG) is the next-generation tool replacing traditional Partogram.
Complete Coverage
Partogram Key Features
- Graphical record of labor progress
- Latent phase: 0–4 cm dilation
- Active phase: from 4 cm
- Alert line: starts at 4 cm, 1 cm/hr progress
- Action line: 4 hours right of alert line – mandatory intervention
WHO Labor Care Guide (LCG) Differences
- Person-centered approach
- Active phase starts at 5 cm dilation
- No alert/action lines – uses evidence-based thresholds
- Includes supportive care, companionship, pain relief
Comparison Highlights
- Partogram focuses on progress graphs
- LCG emphasizes respectful maternity care
- LCG reduces unnecessary interventions
Clinical Application
Monitor cervical dilation, descent, fetal heart rate, maternal vital signs
High-yield fact for exams
LCG starts active phase at 5 cm (updated guideline).
Antepartum Hemorrhage (APH)
Quick Fact
Placenta previa causes painless bright red bleeding.
Complete Coverage
Placenta Previa vs Abruptio Placentae Comparison
| Feature | Placenta Previa | Abruptio Placentae |
|---|---|---|
| Definition | Low-lying placenta covering os | Premature separation of normal placenta |
| Pain | Painless | Painful (abdominal rigidity) |
| Bleeding | Bright red, visible | Dark red, concealed or mixed |
| Abdominal Feel | Soft, relaxed | Hard, board-like ("woody") |
| Fetal Heart | Usually normal | Often distressed or absent |
| Risk Factors | Multiparity, previous C-section | Hypertension, trauma, smoking |
Placenta Accreta Spectrum
- Accreta: attaches to myometrium
- Increta: invades myometrium
- Percreta: penetrates through to bladder/ organs
Management Principles
- Previa: expectant if stable, C-section delivery
- Abruptio: emergency delivery if severe
High-yield fact for exams
Painless bleeding = previa; painful = abruption.
Fetal Positioning and Assessment: Leopold Maneuvers
Quick Fact
Leopold maneuvers determine fetal lie, presentation, position.
Complete Coverage
Four Maneuvers Step-by-Step
- First (Fundal Grip): Palpate fundus – head (hard, round) or breech (soft)
- Second (Lateral Grip): Sides – back (smooth), limbs (knobby)
- Third (Pawlik’s Grip): Lower pole – engagement status
- Fourth (Pelvic Grip): Degree of descent, flexion
Fetal Skull Diameters
- Suboccipitobregmatic: 9.5 cm (vertex, flexed – smallest)
- Occipitofrontal: 11.5 cm (deflexed)
- Mentovertical: 13.5 cm (brow – largest)
- Biparietal: 9.5 cm (transverse)
Clinical Relevance
Used to assess progress in labor
High-yield fact for exams
Suboccipitobregmatic = presenting diameter in normal vertex.
Breech Maneuvers and Episiotomy
Quick Fact
Lovset’s maneuver for breech shoulder delivery.
Complete Coverage
Breech Delivery Maneuvers
- Burns-Marshall: hanging baby for head delivery
- Mauriceau-Smellie-Veit: flexion of head (fingers in mouth)
- Lovset’s: rotation for arms/shoulders
Episiotomy
- Medio-lateral most common (angles away from anus)
- Timing: crowning, second stage
- Types: midline (faster healing but extension risk)
High-yield fact for exams
Medio-lateral episiotomy preferred to avoid anal sphincter tear.
Common Instruments in Obstetric Procedures
Quick Fact
Doyen’s retractor used in cesarean section.
Complete Coverage
D&C Instruments
Sims speculum, dilators, uterine sound, curette
Cesarean Section Instruments
Doyen’s retractor (bladder), Green-Armytage forceps (uterine edges), Alice forceps
High-yield fact for exams
Green-Armytage = hemostatic forceps for C-section.
Mini FAQ: Midwifery 2025 Hacks
Q: Active phase starts at? → 5 cm in LCG
Q: Painless APH cause? → Placenta previa
Q: Anchovy sauce pus? → Amoebic abscess (but APH context – dark bleeding in abruptio)
Q: Leopold first maneuver? → Fundal grip
Q: Breech head flexion maneuver? → Mauriceau-Smellie-Veit
Why logyanlo.in?
Your 2025 midwifery rank partner with free PYQs, diagram quizzes & Telegram community!
Conclusion: Your Midwifery Marks Are Locked!
Day 191 just gave you the complete midwifery package. Keep practising daily on our Daily Question Bank and watch your name in the merit list!
Call to Action
Share this post with your batchmates & Telegram groups – let's make 2025 ours!
0 Comments